Provider First Line Business Practice Location Address:
PEACE FAMILY MEDICINE, PC
Provider Second Line Business Practice Location Address:
218 W WHITE MOUNTAIN BLVD, STE D
Provider Business Practice Location Address City Name:
LAKESIDE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85929-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-367-9995
Provider Business Practice Location Address Fax Number:
928-367-9988
Provider Enumeration Date:
07/12/2006