# YUMA PRIMARY CARE P L L C

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

## Provider details

- **NPI number:** 1740399633
- **Authorized official:** MORGAN BROWN (OFFICE MANAGER)
- **Authorized official phone:** (928) 726-7171

## Contact information

- **Practice address:** 1881 W 24TH ST, SUITE A, YUMA, AZ 85364-6297
- **Practice address phone:** (928) 726-7171
- **Practice address fax:** (928) 726-7206
- **Mailing address:** PO BOX 5089, YUMA, AZ 85366-5089
- **Mailing address fax:** (928) 726-7206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 33831 | AZ | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 04/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 03D1051477 | CLIA | AZ |
| 05 | — | 945876 | — | AZ |
| 01 | — | P00275055 | RAIL ROAD MEDICARE | AZ |