Organization
UBERCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ROBERT STEPHAN D.O. (PRESIDENT)
(928) 704-7284
Entity
Organization
Contact information
Practice address
2440 HWAY 95, SUITE B, BULLHEAD CITY, AZ 86442-7323
(928) 704-7284
Mailing address
2440 HWAY 95, SUITE B, BULLHEAD CITY, AZ 86442-7323
(928) 704-7284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3908
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
803719
—
AZ
Enumeration date
08/08/2012
Last updated
08/08/2012
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