Lone Wolf Medicine, Inc in Payson - Medical
Lone Wolf Medicine, Inc - NPI 1053504225
Lone Wolf Medicine, Inc is a Medical in Payson, Arizona. Lone Wolf Medicine, Inc practices all healthcare services and medical treatments related to Medical. The NPI Number for Lone Wolf Medicine, Inc is 1053504225. The last update date is 2007-08-21.
Lone Wolf Medicine, Inc's current location address is Po Box 1670, Payson, Arizona. You can contact this provider via phone number 9284746617 and fax number 9284747059. The mailing address for Lone Wolf Medicine, Inc is Po Box 1670, Payson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lone Wolf Medicine, Inc |
|---|---|
| Address | Po Box 1670, Payson, Arizona |
| Phone Number | 9284746617 |
| Fax Number | 9284747059 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Heron F Marilyn |
| Credentials | PAC |
| Telephone Number | 9284746617 |
NPI Number Detail
| NPI Number | 1053504225 |
|---|---|
| Provider Enumeration Date | 2007-08-21 |
| Last Updated Date | 2007-08-21 |
Provider Mailing Address Detail
| Address | Po Box 1670 |
|---|---|
| City | Payson |
| State | Arizona (AZ) |
| Post Code | 855471670 |
| Phone Number | 9284746617 |
| Fax Number | 9284747059 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1454 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2Z0986 | AZ | HEALTHNET | |
| 137861 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lone Wolf Medicine, Inc by the Centers for Medicare & Medicaid Services?
The Lone Wolf Medicine, Inc has been assigned the NPI (National Provider Identifier) 1053504225 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Lone Wolf Medicine, Inc is physically located?
The Lone Wolf Medicine, Inc is situated at the following address: Po Box 1670, Payson, AZ 855471670.
What is Lone Wolf Medicine, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lone Wolf Medicine, Inc is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Lone Wolf Medicine, Inc receive its 1053504225 assignment from the Centers for Medicare & Medicaid Services?
The Lone Wolf Medicine, Inc was assigned its 1053504225 by the Centers for Medicare & Medicaid Services on 2007-08-21.
As of what date was the information regarding Lone Wolf Medicine, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lone Wolf Medicine, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-21.