Organization
AIMS PHYSICIANS AND SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZAM S. KHAN (CHIEF ADMINISTRATIVE OFFICER)
(928) 757-3636
Entity
Organization
Contact information
Practice address
3636 STOCKTON HILL ROAD, KINGMAN, AZ 86409
(928) 757-3636
(928) 757-3622
Mailing address
3636 NORTH STOCKTON HILL ROAD, KINGMAN, AZ 86409-0514
(928) 757-3636
(928) 757-7224
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03D2044249
CLIA NUMBER
AZ
05
—
400817
—
AZ
Enumeration date
10/31/2006
Last updated
06/04/2018
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