| Sierra Blanca Clinic, Ltd. | |
|
2963 W White Mountain Blvd Lakeside AZ 85929-6257 | |
| (928) 368-0765 | |
| Not Available |
| Full Name | Sierra Blanca Clinic, Ltd. |
|---|---|
| Speciality | Family Medicine |
| Location | 2963 W White Mountain Blvd, Lakeside, Arizona |
| Authorized Official Name and Position | Mark Mitchell Garskof (PRESIDENT) |
| Authorized Official Contact | 9283680765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Blanca Clinic, Ltd. Po Box 1210 Lakeside AZ 85929-1210 Ph: (928) 368-0765 | Sierra Blanca Clinic, Ltd. 2963 W White Mountain Blvd Lakeside AZ 85929-6257 Ph: (928) 368-0765 |
| NPI Number | 1801084827 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 12/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801084827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10885 (Arizona) | Primary |
Dallas Peterson Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3401 Lockwood Dr, Lakeside, AZ 85929 Phone: 928-368-2060 | |
O Serrano Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 W White Mountain Blvd, Suite C, Lakeside, AZ 85929 Phone: 928-367-3637 Fax: 928-367-3638 | |
Honor Family Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 W White Mountain Blvd, Suite D, Lakeside, AZ 85929 Phone: 928-368-4547 Fax: 928-368-4527 | |
Advanced Health And Wellness Az Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4830 Highway 260 Ste 102, Lakeside, AZ 85929 Phone: 928-537-7111 Fax: 928-532-1129 | |
Jibaro Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5658 Highway 260, Suite 19, Lakeside, AZ 85929 Phone: 928-532-5838 Fax: 928-532-6670 | |
Lakeside Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 W White Mountain Blvd #c, Lakeside, AZ 85929 Phone: 928-367-6828 Fax: 928-367-4037 | |
Eric Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5448 Highway 260 Ste 100, Lakeside, AZ 85929 Phone: 928-358-1862 Fax: 928-537-2049 |