Individual
MRS. DEANNA KAYE PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1050 GAIL GARDNER WAY STE 100, PRESCOTT, AZ 86305-1631
(928) 777-0700
(928) 445-4464
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(928) 759-5987
(928) 458-2039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50912
AZ
207R00000X
Internal Medicine Physician
A63779
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A637790
BLUESHIELD
CA
05
—
044021
—
AZ
01
—
50912
ARIZONA MEDICAL BOARD
AZ
01
—
952585978
CHAMPUS
CA
01
—
A63779
HMO
CA
Enumeration date
10/03/2006
Last updated
03/07/2023
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