Organization
LEVEL 4 MEDICAL PROFESSIONAL CORPORATION
Active
Other names
FOOTHILLS WALK-IN MEDICAL AND URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E SMOCK M.D (MEDICAL DIRECTOR)
(928) 345-2150
Entity
Organization
Contact information
Practice address
11274 S FORTUNA RD, STE I 4, YUMA, AZ 85367-7847
(928) 345-2150
(928) 345-2151
Mailing address
11274 S FORTUNA RD, STE I 4, YUMA, AZ 85367-7847
(928) 345-2150
(928) 345-2151
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
OTC2699
AZ
Other
Enumeration date
07/08/2006
Last updated
09/11/2017
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