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

Wickenburg Healthcare Alliance Inc

Organization Family Medicine Physician · NPI 1063780583

Wickenburg Healthcare Alliance Inc provides Family Medicine Physician services in Wickenburg, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

108 N Frontier St
Wickenburg, AZ 85390-4411 Not confirmed with CMS for 14 years — call before visiting
Phone: (928) 684-7255
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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 AZ4277 (AZ)

Record details

NPI number1063780583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Matlock — President · (928) 684-7255
Other names Wha Medical
NPI enumeratedDecember 12, 2011
Last updated in NPPESJanuary 30, 2012
Mailing address108 N Frontier Street, Wickenburg, AZ 85390-4411

Other providers in Wickenburg