| Rchp-sierra Vista Inc | |
|
5700 E Highway 90 Sierra Vista AZ 85635-9110 | |
| (520) 417-3001 | |
| Not Available |
| Full Name | Rchp-sierra Vista Inc |
|---|---|
| Speciality | Dietitian, Registered |
| Location | 5700 E Highway 90, Sierra Vista, Arizona |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rchp-sierra Vista Inc 5700 E Highway 90 Sierra Vista AZ 85635-9110 Ph: (520) 417-3001 | Rchp-sierra Vista Inc 5700 E Highway 90 Sierra Vista AZ 85635-9110 Ph: (520) 417-3001 |
| NPI Number | 1104236090 |
|---|---|
| Provider Enumeration Date | 05/01/2014 |
| Last Update Date | 02/09/2023 |
| Certification Date | 02/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104236090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
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