Organization
COLORADO RIVER PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN BARTON MD (PHYSICIAN)
(928) 788-8000
Entity
Organization
Contact information
Practice address
1611 JOY LANE, FORT MOHAVE, AZ 86426
(928) 788-8000
(928) 788-8008
Mailing address
PO BOX 11009, FORT MOHAVE, AZ 86427
(928) 788-8000
(928) 788-8008
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29312
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
590837
—
AZ
Enumeration date
09/07/2011
Last updated
09/07/2011
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