# AIM HEALTHCARE PROVIDERS YUMA CLINIC, LLC

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

## Provider details

- **NPI number:** 1881445807
- **Authorized official:** KELLY KARANIUK (CREDENTIALING DIRECTOR)
- **Authorized official phone:** (484) 494-2465

## Contact information

- **Practice address:** 1200 S CASTLE DOME AVE STE D, YUMA, AZ 85365-5305
- **Practice address phone:** (928) 275-8769
- **Practice address fax:** (928) 569-0869
- **Mailing address:** 161 E RIVULON BLVD STE 210, GILBERT, AZ 85297-0087
- **Mailing address phone:** (804) 942-4654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/28/2024
- **Last updated:** 12/09/2024