Organization
MOHAVE GASTROENTEROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY NIIZAWA M.D. (PRESIDENT/OWNER)
(928) 763-2500
Entity
Organization
Contact information
Practice address
2020 SILVER CREEK RD, BUILDING A SUITE 220, BULLHEAD CITY, AZ 86442-8476
(928) 763-2500
(928) 763-0027
Mailing address
2020 SILVER CREEK RD, BUILDING A SUITE 220, BULLHEAD CITY, AZ 86442-8476
(928) 763-2500
(928) 763-0027
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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