Individual provider · Type 1 NPI

Mary M. Poncel, MD

Diagnostic Radiology Physician · Prescott, AZ

NPI number 1609960707 Active

Practice location

500 N Hwy 89, Northern Arizona Va Hcs
Prescott, AZ 86313

Call (928) 445-4860 Map

Mailing address

500 N. Hwy 89
Prescott, AZ 86313

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X9751 (AZ)
Diagnostic Radiology Physician 2085R0202X74-76 (NM)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1609960707

Mary M. Poncel, MD's National Provider Identifier is 1609960707, issued on Oct 3, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Prescott, AZ. The record was last updated on Jul 8, 2007.