# BULLHEAD URGENT CARE CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BULLHEAD URGENT CARE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225158470
- **Authorized official:** DENISE L FAATZ (OFFICE MANAGER)
- **Authorized official phone:** (928) 704-9202

## Contact information

- **Practice address:** 1355 RAMAR RD, STE 11, BULLHEAD CITY, AZ 86442-7100
- **Practice address phone:** (928) 704-9202
- **Practice address fax:** (928) 704-9207
- **Mailing address:** 1355 RAMAR RD, STE 11, BULLHEAD CITY, AZ 86442-7100
- **Mailing address phone:** (928) 704-9202
- **Mailing address fax:** (928) 704-9207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 06/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7560030001 | PTAN | AZ |