Pinetop Primary Palliative Care PLLC

Organization Hospice and Palliative Medicine (Internal Medicine) Physician · NPI 1538740592

Pinetop Primary Palliative Care PLLC is a Hospice and Palliative Medicine (Internal Medicine) Physician in Lakeside, Arizona. Registered with an NPI since 2021.

In the registry since: 2021

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

300 W White Mountain Blvd
Lakeside, AZ 85929-7014
Phone: (928) 367-1077

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary)	Taxonomy 207RH0002X

Record details

NPI number	1538740592
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Michele McCormick — Owner · (928) 367-1077
NPI enumerated	April 20, 2021
Last updated in NPPES	April 20, 2021
Certification date	April 20, 2021
Mailing address	Po Box 888, Lakeside, AZ 85929-0888