Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthracite Medical PLLC

Organization Family Medicine Physician · NPI 1366206500

Anthracite Medical PLLC is a Family Medicine Physician in Prescott, Arizona. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4855 Butterfly Dr
Prescott, AZ 86301-5770
Phone: (570) 299-0037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1366206500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Viccica — Member · (570) 299-0037
NPI enumeratedFebruary 8, 2024
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024
Mailing address4855 Butterfly Dr, Prescott, AZ 86301-5770

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