CONNELLY CARE PLLC NPI 1255429353

NPI Information

CONNELLY CARE PLLC is a specialist in Show Low, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CONNELLY CARE PLLC NPI is 1255429353. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5300 S SUTTER DR
STE 11
SHOW LOW, AZ
ZIP 85901-054
Phone: (928) 537-9844
Fax: (928) 537-4437

The provider's authorized official is Patrick W Connelly .
The authorized official title is Physician and has the following contact phone number (928) 537-9844.

The CLIA number assigned to this NPI record is 03D0928377 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 8/29/2016.

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:

Other Identifiers

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