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Contact Information

MARY M PONCEL, MD
500 N HWY 89
NORTHERN ARIZONA VA HCS
PRESCOTT, AZ86313
 Phone: 928-445-4860
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for MARY M PONCEL · (Female)

NPI # 1609960707
Status Active
Credentials MD
Entity Individual
Enumeration date 10/03/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 9751
  • NM License # 74-76
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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