Organization
BULLHEAD CITY ELEMENTARY SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJE DON HOOKSTRA (BUSINESS MANAGER)
(928) 758-3961
Entity
Organization
Contact information
Practice address
1004 HANCOCK ROAD, BULLHEAD CITY, AZ 86442-5946
(928) 758-3961
(928) 758-4996
Mailing address
1004 HANCOCK ROAD, BULLHEAD CITY, AZ 86442-5946
(928) 758-3961
(928) 758-4996
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
585713
AZ
Other
Enumeration date
08/20/2007
Last updated
07/30/2008
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