Payson Healthcare Management INC

NPI #1093718694 in Payson, Arizona

Provider Information

NPI Number: 1093718694
Entity Type: Organization
Organization Name: Payson Healthcare Management INC
Primary Specialty: Family Medicine
Enumeration Date: May 27, 2005
Last Updated: Jan 21, 2008

Practice Location

Address: 126 E MAIN ST STE B
City: Payson
State: Arizona
ZIP Code: 85541-5488
Phone: (928) 472-4675

Authorized Official

Name: DEBBIE BREWER
Title: DIRECTOR OF PROVIDER ENROLLMENT
Phone: (615) 465-7626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Obstetrics & Gynecology	207V00000X
Pediatrics	208000000X
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Family Medicine	207Q00000X	Primary

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