Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Sierra Vista Regional Health Center Medical Group LLC

Organization Family Medicine Physician · NPI 1043575483

Sierra Vista Regional Health Center Medical Group LLC provides Family Medicine Physician services in Sierra Vista, Arizona. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
9
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5750 E Highway 90 Ste 200
Sierra Vista, AZ 85635
Phone: (520) 263-3979
Fax: (520) 263-3977
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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
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Pediatrics Physician Taxonomy 208000000X
Psychiatry Physician Taxonomy 2084P0800X
Surgery Physician Taxonomy 208600000X
Podiatrist Taxonomy 213E00000X

Record details

NPI number1043575483
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Lawrence — Secretary · (615) 920-7000
NPI enumeratedJuly 11, 2012
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024
Mailing address5750 E Highway 90, Suite 200, Sierra Vista, AZ 85635-9111

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