Individual
DR. JUANITO Y LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 CANYON RD BLDG D, SUITE 1, BULLHEAD CITY, AZ 86442-8624
(928) 763-8600
(928) 704-2201
Mailing address
2500 CANYON RD BLDG D, SUITE 1, BULLHEAD CITY, AZ 86442-8624
(928) 763-8600
(928) 704-2201
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
31206
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
831843
—
AZ
Enumeration date
01/12/2006
Last updated
01/07/2014
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