Pinetop Primary Palliative Care Pllc

NPI #1538740592 in Lakeside, Arizona

Provider Information

NPI Number
1538740592
Entity Type
Organization
Organization Name
Pinetop Primary Palliative Care Pllc
Primary Specialty
Internal Medicine - Hospice and Palliative Medicine
Enumeration Date
Apr 20, 2021
Last Updated
Apr 20, 2021

Practice Location

Address
300 W WHITE MOUNTAIN BLVD
State
Arizona
ZIP Code
85929-7014
Phone
(928) 367-1077

Authorized Official

Name
MICHELE MCCORMICK, NP
Title
OWNER
Phone
(928) 367-1077

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Hospice and Palliative MedicineHospice and Palliative Medicine

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