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Organization
TWIN PEAKS MEDICAL ASSOCIATES PLLC
Active
Organization
TWIN PEAKS MEDICAL ASSOCIATES PLLC
Active
Other names
Fastrax Urgent Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHMIDT DO (MANAGING PHYSICIAN PARTNER)
(928) 753-3303
Entity
Organization
Contact information
Practice address
2002 N STOCKTON HILL RD, SUITE 103, KINGMAN, AZ 86401-4698
(928) 753-3303
(928) 753-3603
Mailing address
2002 N STOCKTON HILL RD, SUITE 103, KINGMAN, AZ 86401-4698
(928) 753-3303
(928) 753-3603
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
OTC3597
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
850166
—
AZ
Enumeration date
07/14/2006
Last updated
04/08/2008
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