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Organization

VISTA HEALTH MIRZA MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IRFAN M MIRZA M.D. (PRESIDENT)
(928) 768-2558
Entity
Organization

Contact information

Practice address
5653 S HIGHWAY 95, STE A, FORT MOHAVE, AZ 86426-6068
(928) 768-2558
(928) 768-2874
Mailing address
5653 S HIGHWAY 95, STE A, FORT MOHAVE, AZ 86426-6068
(928) 768-2558
(928) 758-4659

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
Primary
261QU0200X
Urgent Care Clinic/Center

Other

Enumeration date
12/26/2007
Last updated
08/02/2024
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