Rocky Mountain Medical Pllc

NPI #1285773549 in Prescott, Arizona

Provider Information

NPI Number: 1285773549
Entity Type: Organization
Organization Name: Rocky Mountain Medical Pllc
Primary Specialty: Family Medicine
Enumeration Date: Feb 5, 2007
Last Updated: Nov 2, 2007

Practice Location

Address: 1003 DIVISION ST
Address 2: STE 1
City: Prescott
State: Arizona
ZIP Code: 86301-1657
Phone: (928) 777-2425

Authorized Official

Name: HERMAN CHARLES HEIKKENEN, M.D.
Title: CEO
Phone: (928) 777-2425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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