Big Park Family Practice Pc in Sedona - Family
Big Park Family Practice Pc - NPI 1902000763
Big Park Family Practice Pc is a Family in Sedona, Arizona. Big Park Family Practice Pc practices all healthcare services and medical treatments related to Family. The NPI Number for Big Park Family Practice Pc is 1902000763. The last update date is 2007-11-07.
Big Park Family Practice Pc's current location address is Po Box 21540, Sedona, Arizona. You can contact this provider via phone number 9283004783 and fax number 9286340337. The mailing address for Big Park Family Practice Pc is Po Box 21540, Sedona, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Big Park Family Practice Pc |
|---|---|
| Address | Po Box 21540, Sedona, Arizona |
| Phone Number | 9283004783 |
| Fax Number | 9286340337 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Montgomery Ty |
| Credentials | NP |
| Telephone Number | 9283004783 |
NPI Number Detail
| NPI Number | 1902000763 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2007-11-07 |
Provider Mailing Address Detail
| Address | Po Box 21540 |
|---|---|
| City | Sedona |
| State | Arizona (AZ) |
| Post Code | 863411540 |
| Phone Number | 9283004783 |
| Fax Number | 9286340337 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP2648 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the Big Park Family Practice Pc's unique identification number?
The Big Park Family Practice Pc has been assigned the NPI (National Provider Identifier) Number 1902000763 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Big Park Family Practice Pc?
The Big Park Family Practice Pc is situated at Po Box 21540, in the city of Sedona, state of AZ, with the zip code 863411540.
What is Big Park Family Practice Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Big Park Family Practice Pc is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
On what date was the 1902000763 assigned to Big Park Family Practice Pc?
The Big Park Family Practice Pc was issued its 1902000763 on 2007-06-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Big Park Family Practice Pc most recently updated?
The details pertaining to the Big Park Family Practice Pc, including its address, specialty, and other relevant information, were last refreshed on 2007-11-07.
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