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Organization

PEAKS PRIMARY CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERI ELLERBE (ADMINISTRATOR)
(602) 851-3030
Entity
Organization

Contact information

Practice address
919 12TH PL STE 5, PRESCOTT, AZ 86305-1433
(928) 582-6055
(928) 445-0166
Mailing address
919 12TH PL STE 5, PRESCOTT, AZ 86305-1433
(928) 582-6055
(928) 445-0166

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
02/09/2023
Last updated
10/24/2023
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