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Organization

PRESCOTT FAMILY MEDICINE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN S DOYLE MD (MEDICAL DOCTOR)
(928) 445-4100
Entity
Organization

Contact information

Practice address
726 GAIL GARDNER WAY, SUITE B, PRESCOTT, AZ 86305-2314
(928) 445-4100
(928) 445-9132
Mailing address
726 GAIL GARDNER WAY, SUITE B, PRESCOTT, AZ 86305-2314
(928) 445-4100
(928) 445-9132

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107085
AETNA
Enumeration date
08/18/2005
Last updated
08/22/2020
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