San Carlos Apache Healthcare Corporation
San Carlos Apache Healthcare Corporation is a Physician Assistant in Peridot, Arizona. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
103 Medicine Way RdPeridot, AZ 85542
Phone: (928) 475-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1801245501 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | San Carlos Apache Healthcare Corporation |
| Authorized official | Victoria Began — Interim Ceo · (928) 475-1200 |
| NPI enumerated | June 3, 2016 |
| Last updated in NPPES | June 3, 2016 |
| Mailing address | Po Box 787, Peridot, AZ 85542-0787 |
Other providers in Peridot
-
MS. Analise Kathryn Lucas, PA-C
103 Medicine Way Rd, Peridot, AZ 85542 · (928) 475-1340