Organization
NORTHSIDE MEDICAL CLINIC WALK IN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL R. ORTIZ PA-C (MEDICAL DIRECTOR)
(928) 539-0055
Entity
Organization
Contact information
Practice address
1394 W 16TH ST, YUMA, AZ 85364-4430
(928) 539-0055
(928) 539-0053
Mailing address
1394 W 16TH ST, YUMA, AZ 85364-4430
(928) 539-0055
(928) 539-0053
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
OTC3723
AZ
Other
Enumeration date
09/23/2005
Last updated
04/20/2008
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