Anthracite Medical Pllc

NPI #1366206500 in Prescott, Arizona

Provider Information

NPI Number: 1366206500
Entity Type: Organization
Organization Name: Anthracite Medical Pllc
Primary Specialty: Family Medicine
Enumeration Date: Feb 8, 2024
Last Updated: Feb 12, 2024

Practice Location

Address: 4855 BUTTERFLY DR
City: Prescott
State: Arizona
ZIP Code: 86301-5770
Phone: (570) 299-0037

Authorized Official

Name: JOSEPH LEONARD VICCICA
Title: MEMBER
Phone: (570) 299-0037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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