Individual
EDGAR JAY PRINGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7881
(928) 537-6338
(928) 532-5947
Mailing address
PO BOX 548, COTTONWOOD, AZ 86326-0548
(928) 634-0665
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12528
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253724
—
AZ
Enumeration date
01/18/2006
Last updated
11/07/2007
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