Mary Derose (NPI# 1407991276, PAC ID# 6608034582) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1407991276 |
| PAC ID by PECOS | 6608034582 |
| Professional Enrollment ID | I20120223000325 |
| Full Name | Mary Derose |
| Organization Legal Name | SEDONA INTEGRATIVE MEDICAL CLINIC LLC |
| Address |
1146 W State Route 89a Suite B1 Sedona AZ 86336-5769 |
| Phone Number | 9282840166 |
| Gender | F |
| Medical School | LIFE CHIROPRACTIC COLLEGE |
| Graduation Year | 1995 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 4486704913 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1146 W State Route 89a, Suite B1, Sedona, AZ 86336-5769 | 9282840166 | SEDONA INTEGRATIVE MEDICAL CLINIC LLC |
| Organization Legal Name | SEDONA INTEGRATIVE MEDICAL CLINIC LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric A Haggard | Physical Therapy | Sedona Integrative Medical Clinic LLC | 1146 W State Route 89a, Suite B1, Sedona, AZ 86336-5769 |
| Linda M Haggard | Physician Assistant | Sedona Integrative Medical Clinic LLC | 1146 W State Route 89a, Suite B1, Sedona, AZ 86336-5769 |
| Street Address |
1146 W STATE ROUTE 89A SUITE B1 |
| City | SEDONA |
| State | AZ |
| Zip | 86336-5769 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric A Haggard | Physical Therapy | Sedona Integrative Medical Clinic LLC | 1146 W State Route 89a, Suite B1, Sedona, AZ 86336-5769 |
| Gary M Goodman | Allergy/immunology | 1146 W State Route 89a, Suite B1, Sedona, AZ 86336-5769 | |
| Linda M Haggard | Physician Assistant | Sedona Integrative Medical Clinic LLC | 1146 W State Route 89a, Suite B1, Sedona, AZ 86336-5769 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin L Strom | Physical Therapy | 1120 W State St Soute, 89a Suite B 3, Sedona, AZ 86336 | |
| Aileen A Lee | Psychologist, Clinical | 105 N Roadrunner Dr, Suite 7, Sedona, AZ 86336-3458 | |
| Lori L Zeltwanger | Physical Therapy | Advanced Release Therapy LLC | 160 Roadrunner Dr, Sedona, AZ 86336-3709 |
| Carol C Schafer | Physical Therapy | Lebec Physical Therapy PC Dba Lebec Physical Therapy | 55 Southwest Dr, Sedona, AZ 86336-3723 |
| Linda D Lebec | Physical Therapy | Lebec Physical Therapy PC Dba Lebec Physical Therapy | 55 Southwest Dr, Sedona, AZ 86336-3723 |
| Michael T Lebec | Physical Therapy | Lebec Physical Therapy PC Dba Lebec Physical Therapy | 55 Southwest Dr, Sedona, AZ 86336-3723 |
| Christine R Seip | Physical Therapy | Lebec Physical Therapy PC Dba Lebec Physical Therapy | 55 Southwest Dr, Sedona, AZ 86336-3723 |
| Kadeen A Mansor | Physical Therapy | Lebec Physical Therapy PC Dba Lebec Physical Therapy | 55 Southwest Dr, Sedona, AZ 86336-3723 |
| Bethany Joy Juby | Clinical Psychologist | 105 Roadrunner Dr, Suite 5, Sedona, AZ 86336-3767 | |
| Robert A Berry | Psychologist, Clinical | 2860 Hopi Dr, Suite 2b, Sedona, AZ 86336-3783 | |
| Find all physicians in zip 86336 | |||
| City | SEDONA |
| Zip Code | 86336 |
| Specialty | CHIROPRACTIC |
| City + Specialty | SEDONA + CHIROPRACTIC |
Please comment or provide details below to improve the information on Mary Derose.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.