| Bmi423i | |
|
412 Whipple St Prescott AZ 86301-1712 | |
| (480) 788-5621 | |
| (480) 779-1277 |
| Full Name | Bmi423i |
|---|---|
| Speciality | Family Medicine |
| Location | 412 Whipple St, Prescott, Arizona |
| Authorized Official Name and Position | Thuy Nguyen (MANAGER) |
| Authorized Official Contact | 6024928606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bmi423i 412 Whipple St Prescott AZ 86301-1712 Ph: (480) 788-5621 | Bmi423i 412 Whipple St Prescott AZ 86301-1712 Ph: (480) 788-5621 |
| NPI Number | 1407683162 |
|---|---|
| Provider Enumeration Date | 09/17/2024 |
| Last Update Date | 11/24/2025 |
| Certification Date | 11/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407683162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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