Organization
PRIME MEDICAL CLINIC, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRIC SCHINE (MEDICAL DIRECTOR)
(602) 840-3584
Entity
Organization
Contact information
Practice address
3104 E INDIAN SCHOOL RD, SUITE 110, PHOENIX, AZ 85016-6889
(602) 840-3584
(602) 957-2184
Mailing address
5150 N 16TH ST, SUITE B232, PHOENIX, AZ 85016-3925
(602) 840-3584
(602) 957-2184
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP1483
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
729130
—
AZ
Enumeration date
05/10/2012
Last updated
07/10/2014
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