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Organization
LA PAZ REGIONAL HOSPITAL INC., DBA PARKER PODIATRY
Active
Organization
LA PAZ REGIONAL HOSPITAL INC., DBA PARKER PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN BROWN (CEO)
(928) 669-7300
Entity
Organization
Contact information
Practice address
1713 S KOFA AVE STE K, PARKER, AZ 85344-6402
(928) 669-3033
(928) 669-4416
Mailing address
1200 W MOHAVE RD, PARKER, AZ 85344-6349
(928) 669-9201
(928) 669-7409
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
H0138
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031317
MEDICARE OSCAR
AZ
05
—
480046
—
AZ
Enumeration date
06/05/2014
Last updated
02/27/2019
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