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SIERRA BLANCA CLINIC, LTD.
NPI 1801084827
Family Medicine in Lakeside, AZ

Active since October 04, 2007
2963 W WHITE MOUNTAIN BLVD, LAKESIDE, AZ 85929(928) 368-0765 Get Directions Write a Review

NPPES record last updated: December 27, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sierra Blanca Clinic, Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIERRA BLANCA CLINIC, LTD. (NPI 1801084827) is a healthcare organization registered as a family medicine in Lakeside, Arizona and active in the NPI registry since October 2007. The organization lists Mark Mitchell Garskof, President, as its authorized official.

NPPES Registry Identity

NPI1801084827
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSIERRA BLANCA CLINIC, LTD.
Location Address2963 W WHITE MOUNTAIN BLVDLakeside, AZ 85929-6257
Mailing AddressPo Box 1210Lakeside, AZ 85929-1210 · (928) 368-0765
Phone(928) 368-0765
Organization SubpartNo
Authorized OfficialMark Mitchell GarskofPresident · (928) 368-0765
Enumeration DateOctober 4, 2007
Last NPPES UpdateDecember 27, 2016
✔ NPI 1801084827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 10885
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2963 W WHITE MOUNTAIN BLVD, Lakeside, AZ 85929
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Other Identifiers 1

Medicare UPINC99520AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA DIANE TEAGUE PA-C
Physician Assistant
2963 W WHITE MOUNTAIN BLVD
LAKESIDE, AZ 85929
Navajo County (928) 368-0765
MR. MARK MITCHELL GARSKOF M.D.
Family Medicine
2963 W WHITE MOUNTAIN BLVD
LAKESIDE, AZ 85929
Navajo County (928) 368-0765
MATTHEW WAITE
Family Medicine
2963 W WHITE MOUNTAIN BLVD
LAKESIDE, AZ 85929
Navajo County (928) 537-5437
BARNET DULANEY PERKINS EYE CENTER, PC
Durable Medical Equipment & Medical Supplies
2963 W WHITE MOUNTAIN BLVD
LAKESIDE, AZ 85929
Navajo County (928) 377-2010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sierra Blanca Clinic, Ltd.'s NPI number?

The NPI number for Sierra Blanca Clinic, Ltd. is 1801084827. It was assigned to this organization in the NPPES registry on October 4, 2007.

Where is Sierra Blanca Clinic, Ltd. located?

Sierra Blanca Clinic, Ltd. is located at 2963 W White Mountain Blvd, Lakeside, AZ 85929. The listed phone number is (928) 368-0765.

What is Sierra Blanca Clinic, Ltd.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Sierra Blanca Clinic, Ltd. was last updated on December 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.