Organization · NPI-2

Aban Care Clinic LLC

Specialist · Bullhead City, AZ

NPI number1649366378
StatusActive
Last updated in NPPESJul 24, 2025

Details

NPI
1649366378
Entity type
Organization (NPI-2)
Legal business name
Aban Care Clinic LLC
Organization subpart
No
Enumeration date
Oct 4, 2006
Certification date
Jul 24, 2025
Last updated
Jul 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist32150AZYes

Practice location

2182 Highway 95
Bullhead City, AZ 86442-6044

Phone 928-758-6420 · Fax 928-758-6509

Mailing address

Po Box 20247
Bullhead City, AZ 86439-0247

Phone 928-758-6420 · Fax 928-758-6509

Authorized official

Guillermo G Zegarra
Member/Physician
9287586420

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