Organization
LEGENDARY FAMILY HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY LEE MCGHEE MSN (NURSE PRACTITIONER)
(623) 666-3743
Entity
Organization
Contact information
Practice address
5372 N LONG RIFLE RD, PRESCOTT VALLEY, AZ 86314-4215
(623) 666-3743
Mailing address
5372 N LONG RIFLE RD, PRESCOTT VALLEY, AZ 86314-4215
(623) 666-3743
(928) 227-4110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP10407
AZ
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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