HomeNPI Verification

NPI Verification

National Provider Identifier: 1861153579

Agave Adult Medical Care LLC

Organization

Primary Specialty

Family Medicine, Adult Medicine

Code: 207QA0505X

All Specialties (2)

Radiology, Diagnostic Radiology

Code: 2085R0202X

Family Medicine, Adult Medicine

Code: 207QA0505X

Primary

Practice Address

70 BELL ROCK PLZ STE C

SEDONA, AZ 863519066

Phone: 928-284-2658

NPI Enumeration Date

January 5, 2022

NPI Number

1861153579

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry