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

Sierra Blanca Clinic, Ltd

Organization Family Medicine Physician · NPI 1801084827

Sierra Blanca Clinic, Ltd is a Family Medicine Physician in Lakeside, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2963 W White Mountain Blvd
Lakeside, AZ 85929-6257
Phone: (928) 368-0765
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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 · Licence 10885 (AZ)

Record details

NPI number1801084827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Garskof — President · (928) 368-0765
NPI enumeratedOctober 4, 2007
Last updated in NPPESDecember 27, 2016
Mailing addressPo Box 1210, Lakeside, AZ 85929-1210

Other providers in Lakeside