| Mingus Mountain Primary Care Pllc | |
|
450 S Willard St Ste 107 Cottonwood AZ 86326-6744 | |
| (928) 848-6161 | |
| Not Available |
| Full Name | Mingus Mountain Primary Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 450 S Willard St Ste 107, Cottonwood, Arizona |
| Authorized Official Name and Position | Michael Aranda (PROVIDER/OWNER) |
| Authorized Official Contact | 9283083541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mingus Mountain Primary Care Pllc 450 S Willard St Ste 107 Cottonwood AZ 86326-6744 Ph: (928) 649-6080 | Mingus Mountain Primary Care Pllc 450 S Willard St Ste 107 Cottonwood AZ 86326-6744 Ph: (928) 848-6161 |
| NPI Number | 1245991785 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 03/02/2023 |
| Medicare PECOS PAC ID | 8426441981 |
|---|---|
| Medicare Enrollment ID | O20220224000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245991785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael Anthony Aranda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922065127 PECOS PAC ID: 2961483003 Enrollment ID: I20040526000006 |
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