Organization · NPI-2

Desert Palms Medical Associates INC

Internal Medicine · Bullhead City, AZ

NPI number1467509372
StatusActive
Last updated in NPPESJun 30, 2022

Details

NPI
1467509372
Entity type
Organization (NPI-2)
Legal business name
Desert Palms Medical Associates INC
Organization subpart
No
Enumeration date
Jan 4, 2007
Certification date
Jun 30, 2022
Last updated
Jun 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine23472AZYes
261QU0200X Clinic/Center, Urgent Care––

Practice location

3015 Highway 95 Ste 105
Bullhead City, AZ 86442-4334

Phone 928-763-2001 · Fax 928-763-2038

Mailing address

3015 Highway 95 Ste 105
Bullhead City, AZ 86442-4334

Phone 928-763-2001 · Fax 928-763-2038

Other practice locations

3015 Highway 95 Ste 106
Bullhead City, AZ 86442-4334

Phone 928-763-2001 · Fax 928-763-2230

Authorized official

Heather Ann Brennan
Administrator
9287632001

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