Organization
WESTERN MOUNTAIN MEDICAL CENTER, PC
Active
Parent organization
WESTERN MOUNTAIN MEDICAL CENTER, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN MOUNTAIN MEDICAL CENTER, PC
Authorized official
DEBBIE QUAGLIATA (ILLING ADMINISTRATOR)
(928) 763-0433
Entity
Organization
Contact information
Practice address
2482 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-2726
(702) 906-1480
(928) 763-0839
Mailing address
PO BOX 22018, BULLHEAD CITY, AZ 86439-2018
(928) 763-0433
(928) 763-0839
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
10/01/2020
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