Gerald J Taitague MD PC
Gerald J Taitague MD PC is a Primary Care Clinic/Center in Williams, Arizona. Licensed in Arizona. Registered with an NPI since 2009.
- Licensed in
- AZ
- In the registry since
- 2009
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
117 W Route 66 Ste 190Williams, AZ 86046-2567
Phone: (928) 635-1044
Fax: (928) 635-1042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 26182 (AZ) |
|---|
Record details
| NPI number | 1689813834 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gerald Taitague — President/Physician · (928) 635-1044 |
| Other names | Eagle Rock Health Clinc |
| NPI enumerated | February 11, 2009 |
| Last updated in NPPES | February 11, 2009 |
| Mailing address | 117 W Route 66, Suite 190, Williams, AZ 86046-2567 |