Individual
BARBARA KATHRYN WICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 N HIGHWAY 89, PRESCOTT, AZ 86313
(928) 445-4860
Mailing address
PO BOX 9103, PRESCOTT, AZ 86313-9103
(928) 445-4860
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11788
AZ
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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