Organization
COLTON HEALTH AZ, LLC
Active
Other names
AZ Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUKHJIT SINGH GHUMAN (OWNER)
(480) 609-4200
Entity
Organization
Contact information
Practice address
890 AIRWAY AVE, KINGMAN, AZ 86409-3588
(928) 681-1234
(928) 681-1811
Mailing address
1755 AIRWAY AVE, KINGMAN, AZ 86409-3620
(480) 553-6263
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
04/13/2023
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