# MOHAVE FAMILY HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mohave Family Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043369168
- **Authorized official:** DR. WILLIAM BRIAN WOMACK (D.O./OWNER)
- **Authorized official phone:** (928) 768-9496

## Contact information

- **Practice address:** 1611 E JOY LN, FORT MOHAVE, AZ 86426-8807
- **Practice address phone:** (928) 768-9496
- **Practice address fax:** (928) 768-1943
- **Mailing address:** PO BOX 9479, FORT MOHAVE, AZ 86427-9479
- **Mailing address phone:** (928) 768-9496
- **Mailing address fax:** (928) 768-1943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3527 | AZ | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 04/05/2019