Organization
ACADEMIC HEALTH INC
Active
Other names
Academic Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
HANZ TABORA PT (ADMIN)
(904) 994-5560
Entity
Organization
Contact information
Practice address
1510 E WAGON WHEEL LN STE 104, FORT MOHAVE, AZ 86426-6698
(928) 248-0518
Mailing address
1510 E WAGON WHEEL LN STE 104, FORT MOHAVE, AZ 86426-6698
(928) 889-2273
(928) 212-1355
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
07/23/2024
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