Organization
BIO CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRFAN FAZIL MD (PRESIDENT)
(928) 919-2305
Entity
Organization
Contact information
Practice address
11468 N FRONTAGE RD STE A, YUMA, AZ 85367
(928) 342-6500
(928) 342-6863
Mailing address
PO BOX 669, YUMA, AZ 85366-2329
(928) 247-6516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
2084N0400X
Neurology Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/13/2017
Last updated
10/14/2021
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