Organization · NPI-2

Az Community Care

Internal Medicine · Bullhead City, AZ

NPI number1760116487
StatusActive
Last updated in NPPESJul 11, 2022

Details

NPI
1760116487
Entity type
Organization (NPI-2)
Legal business name
Az Community Care
Organization subpart
No
Enumeration date
Jul 11, 2022
Certification date
Jul 11, 2022
Last updated
Jul 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

1225 Hancock Rd Ste 203
Bullhead City, AZ 86442-5962

Phone 928-224-0064 · Fax 480-842-8608

Mailing address

967 Hancock Rd Ste 133
Bullhead City, AZ 86442-5142

Phone 928-224-0064 · Fax 480-842-8608

Authorized official

Brianda Serrano
Coo
9282240064

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