Ponderosa Family Care, LLC

NPI #1992321723 in Payson, Arizona

Provider Information

NPI Number
1992321723
Entity Type
Organization
Organization Name
Ponderosa Family Care, LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Jun 17, 2020
Last Updated
Jun 17, 2020

Practice Location

Address
127 E MAIN ST STE D
City
Payson
State
Arizona
ZIP Code
85541-5646
Phone
(928) 468-8603

Authorized Official

Name
DR. ALAN P MICHELS, MD
Title
PHYSICIAN/OWNER
Phone
(928) 468-8603

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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