Organization · NPI-2

Ajmedicus

Clinic/Center, Multi-Specialty · Bullhead City, AZ

NPI number1447096417

StatusActive

Last updated in NPPESJul 15, 2024

Details

NPI: 1447096417
Entity type: Organization (NPI-2)
Legal business name: Ajmedicus
Organization subpart: No
Enumeration date: Jul 8, 2024
Certification date: Jul 15, 2024
Last updated: Jul 15, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM1300X	Clinic/Center, Multi-Specialty	–	–	Yes
207QA0505X	Family Medicine, Adult Medicine	–	–
208D00000X	General Practice	–	–
261QR1300X	Clinic/Center, Rural Health	–	–

Practice location

1467 Palma Rd Ste 4
Bullhead City, AZ 86442-6785

Phone 561-573-8521

Mailing address

1846 E Innovation Park Dr Ste 100
Oro Valley, AZ 85755-1963

Phone 561-573-8521

Authorized official

Samuel Joseph
Provider, Manager
5615738521

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