Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sierra Blanca Clinic, Ltd

Organization Family Medicine Physician · NPI 1801084827

Sierra Blanca Clinic, Ltd provides Family Medicine Physician services in Lakeside, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2963 W White Mountain Blvd
Lakeside, AZ 85929-6257
Phone: (928) 368-0765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 10885 (AZ)

Record details

NPI number1801084827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Garskof — President · (928) 368-0765
NPI enumeratedOctober 4, 2007
Last updated in NPPESDecember 27, 2016
Mailing addressPo Box 1210, Lakeside, AZ 85929-1210

Other providers in Lakeside