| Village Of Oak Creek Medical Clinic Llc | |
|
6486 Hwy 179 Ste 107 Sedona AZ 86351-7993 | |
| (928) 284-3236 | |
| (928) 284-2531 |
| Full Name | Village Of Oak Creek Medical Clinic Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 6486 Hwy 179, Sedona, Arizona |
| Authorized Official Name and Position | Barry D Zaretzky (OWNER) |
| Authorized Official Contact | 9282843236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Of Oak Creek Medical Clinic Llc Po Box 1936 Cottonwood AZ 86326-1936 Ph: (928) 634-0665 | Village Of Oak Creek Medical Clinic Llc 6486 Hwy 179 Ste 107 Sedona AZ 86351-7993 Ph: (928) 284-3236 |
| NPI Number | 1760623870 |
|---|---|
| Provider Enumeration Date | 03/19/2009 |
| Last Update Date | 05/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760623870 | NPI | - | NPPES |
| 357287 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 23452 (Arizona) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 23452 (Arizona) | Primary |
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