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Organization
EXCEPTIONAL PHYSICIANS GROUP BULLHEAD CITY HOSPITAL PLLC
Active
Organization
EXCEPTIONAL PHYSICIANS GROUP BULLHEAD CITY HOSPITAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHABANA AHMED (DIRECTOR)
(469) 341-7800
Entity
Organization
Contact information
Practice address
2365 HIGHWAY 95, BULLHEAD CITY, AZ 86442-6066
(928) 224-2443
Mailing address
3514 CEDAR SPRINGS RD, DALLAS, TX 75219-4901
(469) 341-7800
(469) 341-7887
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/28/2023
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