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Caspian Gleam Medical Center Llc
Multi-Specialty Clinic/Center in Prescott, Arizona
NPI 1174073837

Caspian Gleam Medical Center Llc is a Multi-Specialty Clinic/Center based in Prescott, AZ and is specialized in Multi-Specialty. Caspian Gleam Medical Center Llc practices in Prescott, AZ. The NPI Number for Caspian Gleam Medical Center Llc is 1174073837 and holds a License No. (Arizona).

The current practice location address for Caspian Gleam Medical Center Llc is 3130 Stillwater Drive, Suite B, Prescott, AZ and can be reached out via phone at 801-884-9687. You can also correspond with Caspian Gleam Medical Center Llc through the mailing address at 3270 ROSE LN, PRESCOTT, AZ - 86305-3744 (mailing address contact number: 801-884-9687).

Location: 3130 Stillwater Drive, Suite B, Prescott, AZ, 86305-3744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174073837
Provider Name
Caspian Gleam Medical Center Llc
Credential
Provider Entity Type
Organization
Address
3130 Stillwater Drive, Suite B, Prescott, AZ, 86305-3744
Phone Number
801-884-9687
Fax Number
Provider Enumeration Date
10/06/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3130 Stillwater Drive, Suite B
City
Prescott
State
Arizona
Zip
86305
Phone Number
801-884-9687
Fax Number
person
Provider Business Mailing Address Details
Address
3270 Rose Ln
City
Prescott
State
Arizona
Zip
86305-3744
Phone Number
801-884-9687
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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