Organization · Type 2 NPI
Billy Creek Clinic
Primary Care Clinic/Center · Lakeside, AZ
NPI number
1679730493
Active
Practice location
43 W White Mountain Blvd
Lakeside, AZ 85929-7002
Fax (928) 367-4042
Mailing address
PO Box 878
Springerville, AZ 85938-0878
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 32794 (AZ) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1679730493
Billy Creek Clinic's National Provider Identifier is 1679730493, issued on May 20, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lakeside, AZ. The record was last updated on May 27, 2008.