Sierra Blanca Clinic, Ltd.

NPI #1801084827 in Lakeside, Arizona

Provider Information

NPI Number: 1801084827
Entity Type: Organization
Organization Name: Sierra Blanca Clinic, Ltd.
Primary Specialty: Family Medicine
Enumeration Date: Oct 4, 2007
Last Updated: Dec 27, 2016

Practice Location

Address: 2963 W WHITE MOUNTAIN BLVD
City: Lakeside
State: Arizona
ZIP Code: 85929-6257
Phone: (928) 368-0765

Authorized Official

Name: DR. MARK MITCHELL GARSKOF, MD
Title: PRESIDENT
Phone: (928) 368-0765

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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Matthew Waite	Family Medicine	Lakeside	AI Deep Dive

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