| Kathy Stoecker Llc | |
|
148 N Summit Ave Prescott AZ 86301-2712 | |
| (928) 458-1227 | |
| (928) 379-5111 |
| Full Name | Kathy Stoecker Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 148 N Summit Ave, Prescott, Arizona |
| Authorized Official Name and Position | Mark Howard Stoecker (COO) |
| Authorized Official Contact | 9288997854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Stoecker Llc 2296 Golf Club Ln Prescott AZ 86303-6922 Ph: (928) 899-7854 | Kathy Stoecker Llc 148 N Summit Ave Prescott AZ 86301-2712 Ph: (928) 458-1227 |
| NPI Number | 1043967474 |
|---|---|
| Provider Enumeration Date | 03/05/2022 |
| Last Update Date | 03/05/2022 |
| Certification Date | 03/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043967474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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