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Lone Wolf Medicine, Inc

Medical Physician Assistant in Payson, AZ · enumerated 2007 · authorized official Marilyn Heron, Physician Assisitant.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053504225

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Registry record

Entity type Organization (Type 2)
Legal business name Lone Wolf Medicine, Inc
Practice address 806 S Ponderosa St, Payson, AZ, 85541
Phone (928) 474-6617
Fax (928) 474-7059
Enumeration date Aug 21, 2007
Last updated in NPPES Aug 21, 2007

Taxonomy & classification

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1454 (AZ) Primary

Authorized official

Name Marilyn Heron
Title Physician Assisitant
Phone (928) 474-6617

Other identifiers

Identifier Type State Issuer
2Z0986 Other AZ HEALTHNET
137861 Medicaid AZ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Lone Wolf Medicine, Inc?
NPPES lists Marilyn Heron (Physician Assisitant) as the authorized official for this organization.
What is the NPI number for Lone Wolf Medicine, Inc?
The NPI for Lone Wolf Medicine, Inc is 1053504225, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-08-21.