White Mountain Family Practice Associates Ltd

NPI #1467580894 in Lakeside, Arizona

Provider Information

NPI Number: 1467580894
Entity Type: Organization
Organization Name: White Mountain Family Practice Associates Ltd
Primary Specialty: Family Medicine
Enumeration Date: Feb 28, 2007
Last Updated: Dec 27, 2007

Practice Location

Address: 5658 HIGHWAY 260
Address 2: SUITE 19
City: Lakeside
State: Arizona
ZIP Code: 85929-5189
Phone: (928) 532-5838

Authorized Official

Name: LINDA NEEL
Title: MANAGER
Phone: (928) 532-5838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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DR. Scott Milton Jensen, M.D.	Family Medicine	Lakeside	AI Deep Dive
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MR. Mark Mitchell Garskof, M.D.	Family Medicine	Lakeside	AI Deep Dive
Matthew Waite	Family Medicine	Lakeside	AI Deep Dive

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