Southwest I.d. & Medical Clinic, Lc

Specialty details in registry · Prescott Valley, AZ

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At a glance

3235 N Windsong Dr, Prescott Valley, AZ 86314-1222

NPPES record updated Sep 7, 2023. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

3235 N Windsong Dr
Prescott Valley, AZ 86314-1222
Professional details: NPI, taxonomy & registry record
NPI1275563975
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
207RI0200X
Enumeration date
Jul 5, 2006
Record updated
Sep 7, 2023
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

207RI0200X · Primary

License reported: 29064 AZ

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3235 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone
(928) 772-3340
Fax
(928) 759-9611
Mailing address
PO BOX 1629

PRESCOTT, AZ 863021629
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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