West Yavapai Guidance Clinic, Inc.

NPI #1629618061 in Prescott, Arizona

Provider Information

NPI Number
1629618061
Entity Type
Organization
Organization Name
West Yavapai Guidance Clinic, Inc.
Primary Specialty
Family Medicine - Adult Medicine
Enumeration Date
Jan 14, 2020
Last Updated
Jun 14, 2021

Practice Location

Address
625 W HILLSIDE AVE
State
Arizona
ZIP Code
86301-1936
Phone
(928) 445-5211

Authorized Official

Name
LINDA DIANE MCLAIN
Title
CREDENTIALING SPECIALIST
Phone
(928) 445-5211

Specialties & Taxonomy Codes

Specialty
Family Medicine - Adult MedicineAdult Medicine

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