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Organization
HIDRK HEALTH CARE PC
Active
Organization
HIDRK HEALTH CARE PC
Active
Other names
Western Arizona Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MAJAZ ALI KHAN DO (OWNER)
(928) 444-1257
Entity
Organization
Contact information
Practice address
967 HANCOCK RD, SUITE 133, BULLHEAD CITY, AZ 86442-5169
(928) 444-1257
(928) 444-1299
Mailing address
PO BOX 10169, FORT MOHAVE, AZ 86427-0169
(928) 444-1257
(928) 444-1299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
06/19/2008
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