Country Clinic PC
NPI #1740561562 in Queen Creek, Arizona
Provider Information
- NPI Number
- 1740561562
- Entity Type
- Organization
- Organization Name
- Country Clinic PC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 7, 2011
- Last Updated
- Mar 14, 2012
Practice Location
- Address
- 26416 S MANDARIN DR
- City
- Queen Creek
- State
- Arizona
- ZIP Code
- 85142-9411
- Phone
- (480) 369-0582
Authorized Official
- Name
- KATHERINE C HAKEMAN, NP
- Title
- PRESIDENT
- Phone
- (480) 369-0582
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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