| Scott S Ekdahl | |
| 
					474 N Hwy 89 Chino Valley AZ 86323-5993  | |
| (928) 636-4355 | |
| (928) 636-0754 | 
| Full Name | Scott S Ekdahl | 
|---|---|
| Speciality | Family Medicine | 
| Location | 474 N Hwy 89, Chino Valley, Arizona | 
| Authorized Official Name and Position | Scott S Ekdahl (MANAGING MEMBER) | 
| Authorized Official Contact | 9286364355 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Scott S Ekdahl 474 N Hwy 89 Chino Valley AZ 86323-5993 Ph: (928) 636-4355  | Scott S Ekdahl 474 N Hwy 89 Chino Valley AZ 86323-5993 Ph: (928) 636-4355  | 
| NPI Number | 1184754640 | 
|---|---|
| Provider Enumeration Date | 03/06/2007 | 
| Last Update Date | 07/19/2012 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184754640 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | OTC2733 (Arizona) | Primary | 
Nextcare Primary Care Arizona Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 474 N Hwy 89, Chino Valley, AZ 86323 Phone: 480-776-1600 Fax: 480-776-1605  | |
West Yavapai Guidance Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 W Road 3 N, Chino Valley, AZ 86323 Phone: 928-445-5211  |