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Organization
ACADEMIC HEALTH INC
Active
Organization
ACADEMIC HEALTH INC
Active
Other names
Academic Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
HANZ KONRAD TABORA PT (ADMIN)
(904) 994-5560
Entity
Organization
Contact information
Practice address
1510 E WAGON WHEEL LN STE 104, FORT MOHAVE, AZ 86426-6698
(928) 889-2273
(928) 212-1355
Mailing address
1510 E WAGON WHEEL LN STE 104, FORT MOHAVE, AZ 86426-6698
(928) 889-2273
(928) 212-1355
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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