Organization
AIMS OUTPATIENT SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AZAM S. KHAN (CHIEF ADMINISTRATIVE OFFICER)
(928) 757-3636
Entity
Organization
Contact information
Practice address
3636 N STOCKTON HILL RD, KINGMAN, AZ 86409
(928) 757-3690
(928) 757-3635
Mailing address
3636 N STOCKTON HILL RD, KINGMAN, AZ 86409-0514
(928) 757-3690
(928) 757-3635
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC0074
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155590
—
AZ
01
—
OSC-0074
MEDICAL FACILITY LICENSE
AZ
Enumeration date
09/20/2005
Last updated
06/04/2018
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