NPI 1003111378
Arizona Grand Medical Center PLLC
Practice location
- Address
- 3777 Crossings Dr, Prescott, AZ 86305-7121
- Phone
- (928) 771-9693
- Fax
- (928) 708-0505
- Mailing address
- PO Box 47729, Phoenix, AZ 85068-7729
Authorised official
- Name
- Melissa Mayoral
- Title
- Accounts Manager
- Phone
- (602) 820-4709
Registered specialties
Multi-Specialty Clinic/Center
Primary
Registry record
- NPI
- 1003111378
- Entity type
- Organization
- NPI issued
- 18 Jan 2011
- Record last updated
- 7 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.