Organization · NPI-2

Dadra Hospital Medicine PC

Internal Medicine · Bullhead City, AZ

NPI number1184249799
StatusActive
Last updated in NPPESSep 2, 2022

Details

NPI
1184249799
Entity type
Organization (NPI-2)
Legal business name
Dadra Hospital Medicine PC
Organization subpart
No
Enumeration date
Jun 9, 2020
Certification date
Sep 2, 2022
Last updated
Sep 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

3706 Highway 95 Ste 101
Bullhead City, AZ 86442-8226

Phone 928-201-9286 · Fax 928-219-4610

Mailing address

3706 Highway 95 Ste 101
Bullhead City, AZ 86442-8226

Phone 928-201-9286 · Fax 928-219-4610

Authorized official

Christine Krall
Office Manager
9282019286

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