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

Prescott Family Medicine PLLC

Organization Family Medicine Physician · NPI 1720070303

Prescott Family Medicine PLLC is a Family Medicine Physician in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
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

726 Gail Gardner Way Ste B
Prescott, AZ 86305-2314
Phone: (928) 445-4100
Fax: (928) 445-9132
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (AZ)

Record details

NPI number1720070303
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Doyle — Medical Doctor · (928) 445-4100
NPI enumeratedAugust 18, 2005
Last updated in NPPESAugust 22, 2020
Mailing address726 Gail Gardner Way, Suite B, Prescott, AZ 86305-2314

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