Healthcare Provider Details

I. General information

NPI: 1215994793
Provider Name (Legal Business Name): MARCY SEDONA SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 S MAIN ST
CAMP VERDE AZ
86322-7155
US

IV. Provider business mailing address

PO BOX 2580
CAMP VERDE AZ
86322-2580
US

V. Phone/Fax

Practice location:
  • Phone: 928-567-4846
  • Fax: 928-567-9606
Mailing address:
  • Phone: 928-567-4846
  • Fax: 928-567-9606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. HOMER KENNETH MARCY
Title or Position: OFFICER/DIRECTOR
Credential: D.C.
Phone: 928-567-4846