| Northern Arizona Family Medicine, Pc | |
|
14 E Tumbleweed Lane Taylor AZ 85939-8593 | |
| (928) 243-6881 | |
| Not Available |
| Full Name | Northern Arizona Family Medicine, Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 14 E Tumbleweed Lane, Taylor, Arizona |
| Authorized Official Name and Position | Jeannie Diane Evans (CEO) |
| Authorized Official Contact | 9282436881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Arizona Family Medicine, Pc Po Box 339 Taylor AZ 85939-0339 Ph: (928) 243-6881 | Northern Arizona Family Medicine, Pc 14 E Tumbleweed Lane Taylor AZ 85939-8593 Ph: (928) 243-6881 |
| NPI Number | 1710521901 |
|---|---|
| Provider Enumeration Date | 10/31/2019 |
| Last Update Date | 10/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710521901 | NPI | - | NPPES |
| 207Q00000X | Other | AZ | TAXONOMY CODE |
| 579169 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Byrd Family Medical Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14 E Tumbleweed Ln, Taylor, AZ 85939 Phone: 928-457-2019 Fax: 833-944-1884 |