Organization
NORTHERN APACHE COUNTY SPECIAL HEALTH CARE DISTRICT
Active
Other names
St. Michaels Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN MARTINEZ (BUSINESS OFFICE MANAGER)
(928) 810-3814
Entity
Organization
Contact information
Practice address
359 WEST HIGHWAY 264, SUITE A, SAINT MICHAELS, AZ 86511
(928) 810-3800
(928) 810-3801
Mailing address
PO BOX 370, SAINT MICHAELS, AZ 86511-0370
(928) 810-3814
(928) 810-3811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OTC2967
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68357303
—
NM
05
—
709248
—
AZ
Enumeration date
12/24/2007
Last updated
12/24/2007
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