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Organization
PREMIER MOUNTAIN HEALTHCARE LLC
Active
Organization
PREMIER MOUNTAIN HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANUPAM AHLAWAT (PRACTICE ADMINISTRAITOR)
(480) 294-4494
Entity
Organization
Contact information
Practice address
5300 S SUTTER DR UNIT A, SHOW LOW, AZ 85901-8374
(928) 251-4244
(833) 539-1739
Mailing address
5300 S SUTTER DR UNIT A, SHOW LOW, AZ 85901-8374
(928) 251-4244
(833) 539-1739
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
03/17/2026
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