Prescott Complete Care

NPI #1538714092 in Prescott, Arizona

Provider Information

NPI Number: 1538714092
Entity Type: Organization
Organization Name: Prescott Complete Care
Primary Specialty: Family Medicine
Enumeration Date: Aug 1, 2019
Last Updated: Sep 26, 2024

Practice Location

Address: 1947 COMMERCE CENTER CIRCLE
Address 2: SUITE A
City: Prescott
State: Arizona
ZIP Code: 86301
Phone: (928) 458-5723

Authorized Official

Name: JOSEPH VICCICA
Title: OFFICE MANAGER
Phone: (570) 299-0037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Physician Assistant - Medical — Medical	363AM0700X
Family Medicine	207Q00000X	Primary

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