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WHITE MOUNTAIN MEDICAL CONSULTANTS LLC NPI 1508338831


NPI Information

NPI: 1508338831
Provider Name: WHITE MOUNTAIN MEDICAL CONSULTANTS LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3401 LOCKWOOD DR
LAKESIDE, AZ
ZIP 85929
Phone: (928) 368-2060
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WHITE MOUNTAIN MEDICAL CONSULTANTS LLC is a family medicine in Lakeside, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WHITE MOUNTAIN MEDICAL CONSULTANTS LLC NPI is 1508338831. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3401 LOCKWOOD DR
LAKESIDE, AZ
ZIP 85929-613
Phone: (928) 368-2060
Fax: (928) 368-2061

The provider's authorized official is Brian William Goodman .
The authorized official title is Tax Id, Practice Owner and has the following contact phone number (480) 244-6035.

The enumeration date for this NPI number is 12/27/2018 and was last updated on 12/27/2018.


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
1207Q00000XFamily MedicineYes

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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