Organization
KINGMAN NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIMFA R AGUILA M.D. (PHYSICIAN)
(928) 681-8288
Entity
Organization
Contact information
Practice address
1730 E BEVERLY AVE, KINGMAN, AZ 86409-3500
(928) 681-8288
(928) 681-8289
Mailing address
1730 E BEVERLY AVE, KINGMAN, AZ 86409-3500
(928) 681-8288
(928) 681-8289
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32057
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
816001
—
AZ
Enumeration date
05/15/2007
Last updated
08/22/2020
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