Organization
BULLHEAD URGENT CARE CORP
Active
Other names
BULLHEAD URGENT CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE L FAATZ (OFFICE MANAGER)
(928) 704-9202
Entity
Organization
Contact information
Practice address
1355 RAMAR RD, STE 11, BULLHEAD CITY, AZ 86442-7100
(928) 704-9202
(928) 704-9207
Mailing address
1355 RAMAR RD, STE 11, BULLHEAD CITY, AZ 86442-7100
(928) 704-9202
(928) 704-9207
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7560030001
PTAN
AZ
Enumeration date
03/30/2007
Last updated
06/18/2024
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