Organization
BULLHEAD PRIMARY CARE, LLC
Active
Other names
Bullhead Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAKTI SONI (MANAGER)
(928) 704-9217
Entity
Organization
Contact information
Practice address
1355 RAMAR RD STE 11A, BULLHEAD CITY, AZ 86442-7100
(928) 704-9217
Mailing address
1355 RAMAR RD STE 11A, BULLHEAD CITY, AZ 86442-7100
(928) 704-9217
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/29/2023
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