NPI 1609960707

Mary M Poncel, MD

Practitioner Diagnostic Radiology Physician Prescott, AZ

Practice location

Address: 500 N Hwy 89 Northern Arizona VA Hcs, Prescott, AZ 86313
Phone: (928) 445-4860
Mailing address: 500 N. Hwy 89, Prescott, AZ 86313

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 9751 (AZ)

Other Radiology providers in Arizona →

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 74-76 (NM)

Registry record

NPI: 1609960707
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Oct 2006
Record last updated: 8 Jul 2007

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.