PRESCOTT MEDICAL AND DERMATOLOGY GROUP NPI 1841929908

NPI Information

PRESCOTT MEDICAL AND DERMATOLOGY GROUP is a family medicine in Prescott, 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. PRESCOTT MEDICAL AND DERMATOLOGY GROUP NPI is 1841929908. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

804 AINSWORTH DR STE 105
PRESCOTT, AZ
ZIP 86301-624
Phone: (602) 476-4074

The provider's authorized official is Amy Fajardo .
The authorized official title is Billing/credentialing and has the following contact phone number (480) 678-9893.

The enumeration date for this NPI number is 6/6/2022 and was last updated on 6/6/2022.

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:

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