Fort Mcdowell Yavapai Nation
NPI #1053418533 in Fort Mcdowell, Arizona
Provider Information
- NPI Number
- 1053418533
- Entity Type
- Organization
- Organization Name
- Fort Mcdowell Yavapai Nation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FORT MCDOWELL YAVAPAI NATION
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 19, 2006
- Last Updated
- May 5, 2017
Practice Location
- Address
- 16240 NORTH FORT MCDOWELL
- City
- Fort Mcdowell
- State
- Arizona
- ZIP Code
- 85264-3402
- Phone
- (480) 789-7890
Authorized Official
- Name
- DEMETRA BARR REYNOLDS, MD
- Title
- MEDICAL HEALTH DIRECTOR
- Phone
- (480) 816-7199
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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