Organization
COLTON HEALTH AZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUKHJIT SINGH GHUMAN (GROUP CHAIRMAN AND CEO)
(602) 702-3955
Entity
Organization
Contact information
Practice address
890 AIRWAY AVE, KINGMAN, AZ 86409-3588
(928) 681-1234
(928) 681-1811
Mailing address
9457 E ADOBE DR, SCOTTSDALE, AZ 85255-5077
(602) 702-3955
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
04/13/2023
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