Dr MICHAEL KEENE DEMACK is a male medical professional, specializing in Physician Assistant. He graduated in 1999.
PONDEROSA FAMILY CARE, LLC
806 S PONDEROSA ST
PAYSON
AZ
855415541
Tel: 9284688603
| Npi | 1043347313 |
| Pac Id | 9739457631 |
| Professional Enrollment Id | I20170619000691 |
| Last Name | DEMACK |
| First Name | MICHAEL |
| Middle Name | KEENE |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | PONDEROSA FAMILY CARE, LLC |
| Group Practice Pac Id | 1456548015 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 806 S PONDEROSA ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PAYSON |
| State | AZ |
| Zip Code | 855415541 |
| Phone Number | 9284688603 |
| Hospital Affiliation Ccn 1 | 031318 |
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| Professional Accepts Medicare Assignment | Y |
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