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

Wickenburg Healthcare Alliance Inc

Organization Family Medicine Physician · NPI 1063780583

Wickenburg Healthcare Alliance Inc is a Family Medicine Physician in Wickenburg, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

108 N Frontier St
Wickenburg, AZ 85390-4411
Phone: (928) 684-7255
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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 AZ4277 (AZ)

Record details

NPI number1063780583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Matlock — President · (928) 684-7255
Other names Wha Medical
NPI enumeratedDecember 12, 2011
Last updated in NPPESJanuary 30, 2012
Mailing address108 N Frontier Street, Wickenburg, AZ 85390-4411

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