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SOUTHWEST I.D. & MEDICAL CLINIC LC NPI 1275563975


NPI Information

NPI: 1275563975
Provider Name: SOUTHWEST I.D. & MEDICAL CLINIC, LC
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
3235 N WINDSONG DR
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 772-3340
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SOUTHWEST I.D. & MEDICAL CLINIC, LC is an infectious disease internal medicine in Prescott Valley, AZ. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. SOUTHWEST I.D. & MEDICAL CLINIC, LC NPI is 1275563975. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3235 N WINDSONG DR
PRESCOTT VALLEY, AZ
ZIP 86314-222
Phone: (928) 772-3340
Fax: (928) 759-9611

The provider's authorized official is Alpana Jetly .
The authorized official title is Manager and has the following contact phone number (928) 772-3340.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 9/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0200XInternal MedicineInfectious Disease29064ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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