Organization
YUMA HEART AND MEDICAL INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY PAYNE (OFFICE MANAGER)
(928) 344-3350
Entity
Organization
Contact information
Practice address
2503 S AVENUE A, STE 2, YUMA, AZ 85364-7173
(928) 344-3350
(928) 344-2270
Mailing address
2503 S AVENUE A, SUITE 2, YUMA, AZ 85364-7173
(928) 344-3350
(928) 344-2270
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19608
AZ
207RC0000X
Cardiovascular Disease Physician
34512
AZ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35717
AZ
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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