Organization
LISA MARIE YORK, MD
Active
Other names
Pine Strawberry Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARIE YORK MD (PHYSICIAN)
(928) 476-3258
Entity
Organization
Contact information
Practice address
6152 HARDSCRABBLE ROAD, PINE, AZ 85544
(928) 476-3258
(928) 476-3186
Mailing address
PO BOX 409, PINE, AZ 85544-0409
(928) 476-3258
(928) 476-3186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24012
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z9017
HEALTHNET
AZ
05
—
391186
—
AZ
01
—
AZ0740060
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
08/23/2007
Last updated
01/17/2008
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