Individual
SUMMER CHARISE AYMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3641 HIGHWAY 95, BULLHEAD CITY, AZ 86442-8151
(928) 704-4334
Mailing address
3854 EAGLE ROCK RD, KINGMAN, AZ 86409-3333
(928) 757-4002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BA9586263
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BA9586263
LICENSE
AZ
Enumeration date
07/12/2006
Last updated
07/08/2007
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