Wickenburg Healthcare Alliance INC
NPI #1063780583 in Wickenburg, Arizona
Provider Information
- NPI Number
- 1063780583
- Entity Type
- Organization
- Organization Name
- Wickenburg Healthcare Alliance INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 12, 2011
- Last Updated
- Jan 30, 2012
Practice Location
- Address
- 108 N FRONTIER ST
- City
- Wickenburg
- State
- Arizona
- ZIP Code
- 85390-4411
- Phone
- (928) 684-7255
Authorized Official
- Name
- DR. THOMAS A MATLOCK, MD
- Title
- PRESIDENT
- Phone
- (928) 684-7255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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