Organization
COMMUNITY HEALTH CARE OF DOUGLAS
Active
Organization
COMMUNITY HEALTH CARE OF DOUGLAS
Active
Other names
Southeast Arizona Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BICKELL (CEO)
(520) 805-5940
Entity
Organization
Contact information
Practice address
2174 W OAK AVE, DOUGLAS, AZ 85607
(520) 805-5813
Mailing address
2174 W OAK AVE, DOUGLAS, AZ 85607-6003
(520) 805-5813
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55843901
—
AZ
Enumeration date
11/24/2009
Last updated
11/24/2009
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