NPI 1144398355

Mark Everett Kiffer, DOMBA

Practitioner Family Medicine Physician Prescott, AZ

Practice location

Address: 6200 W Indian Pony CT, Prescott, AZ 86305-1542
Phone: (602) 319-5919

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 3802 (AZ)

Other Family Medicine providers in Arizona →

Registry record

NPI: 1144398355
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Dec 2006
Record last updated: 23 Mar 2016

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.