Organization
COLTON HEALTH AZ, LLC
Active
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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