NPI

Sierra Blanca Clinic, LTD.

NPI 1801084827

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2007-10-04
Last updated
2016-12-27

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Specialties

Licenses

License AZ
10885

Location

Practice location
2963 W White Mountain Blvd
City
Lakeside AZ
Postal code
85929-6257
Phone
(928) 368-0765

Organization contact

Name
Mark Garskof
Title
President
Phone
(928) 368-0765

Medicare

Medicare enrollment (PECOS) was not checked for this NPI on this load. The Medicare enrollment lookup checks it directly. This page does not decide enrollment.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Lakeside, AZ. 176 records in the public file.

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