Sierra Blanca Clinic, Ltd. in Lakeside - Family Medicine
Sierra Blanca Clinic, Ltd. - NPI 1801084827
Sierra Blanca Clinic, Ltd. is a Family Medicine in Lakeside, Arizona. Sierra Blanca Clinic, Ltd. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Sierra Blanca Clinic, Ltd. is 1801084827. The last update date is 2016-12-27.
Sierra Blanca Clinic, Ltd.'s current location address is Po Box 1210, Lakeside, Arizona. You can contact this provider via phone number 9283680765. The mailing address for Sierra Blanca Clinic, Ltd. is Po Box 1210, Lakeside, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sierra Blanca Clinic, Ltd. |
|---|---|
| Address | Po Box 1210, Lakeside, Arizona |
| Phone Number | 9283680765 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Garskof Mitchell Mark |
| Credentials | MD |
| Telephone Number | 9283680765 |
NPI Number Detail
| NPI Number | 1801084827 |
|---|---|
| Provider Enumeration Date | 2007-10-04 |
| Last Updated Date | 2016-12-27 |
Provider Mailing Address Detail
| Address | Po Box 1210 |
|---|---|
| City | Lakeside |
| State | Arizona (AZ) |
| Post Code | 859291210 |
| Phone Number | 9283680765 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 10885 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Sierra Blanca Clinic, Ltd.?
The Sierra Blanca Clinic, Ltd. has been issued the NPI (National Provider Identifier) 1801084827 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Sierra Blanca Clinic, Ltd.'s facilities are situated?
The facilities of Sierra Blanca Clinic, Ltd. are physically located at the following address: Po Box 1210, Lakeside, AZ, 859291210.
What is Sierra Blanca Clinic, Ltd.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Sierra Blanca Clinic, Ltd. is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Sierra Blanca Clinic, Ltd. receive the assignment of its 1801084827 from the Centers for Medicare & Medicaid Services?
The Sierra Blanca Clinic, Ltd. was issued its 1801084827 by the Centers for Medicare & Medicaid Services on 2007-10-04.
As of what date were the details pertaining to Sierra Blanca Clinic, Ltd. last refreshed?
The information related to the Sierra Blanca Clinic, Ltd., including its address, specialty, and other relevant details, was last updated on 2016-12-27.