# EXCEPTIONAL PHYSICIANS GROUP YUMA HOSPITAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386363638
- **Authorized official:** MR. RONALD IVAN COLLINS (FINANCIAL SYSTEM ADVISOR)
- **Authorized official phone:** (972) 888-7216

## Contact information

- **Practice address:** 2648 SOUTH ARABY ROAD, YUMA, AZ 85365
- **Practice address phone:** (469) 341-7800
- **Mailing address:** PO BOX 191308, DALLAS, TX 75219-8308
- **Mailing address phone:** (469) 341-7800
- **Mailing address fax:** (469) 341-7222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |
| 2085B0100X | Body Imaging Physician | — | NULL | — |
| 2085B0100X | Body Imaging Physician | — | — | — |

## Other

- **Enumeration date:** 08/22/2022
- **Last updated:** 08/22/2022