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Organization
COLTON HEALTH AZ, LLC
Active
Organization
COLTON HEALTH AZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUKHJIT SINGH GHUMAN (GROUP CHAIRMAN AND CEO)
(602) 702-3955
Entity
Organization
Contact information
Practice address
890 AIRWAY AVE, KINGMAN, AZ 86409-3588
(928) 681-1234
(928) 681-1811
Mailing address
9457 E ADOBE DR, SCOTTSDALE, AZ 85255-5077
(602) 702-3955
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/30/2020
Last updated
04/13/2023
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