Organization
ARIZONA INSTITUTE OF MEDICINE & SURGERY
Active
Other names
Outpatient Treatment Ctr, AIMS Outpatient Treatment Center, AIMS Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
AZAM S. KHAN (CHIEF ADMINISTRATIVE OFFICER)
(928) 757-3636
Entity
Organization
Contact information
Practice address
3636 STOCKTON HILL ROAD, KINGMAN, AZ 86409
(928) 757-3680
(928) 757-3614
Mailing address
3636 STOCKTON HILL ROAD, KINGMAN, AZ 86409
(928) 757-3680
(928) 757-3614
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
OTC660
AZ
2085R0202X
Diagnostic Radiology Physician
OTC660
AZ
261QU0200X
Urgent Care Clinic/Center
Primary
OTC-0660
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167933
—
AZ
01
—
OTC-0660
MEDICAL FACILITY LICENSING
AZ
Enumeration date
11/25/2008
Last updated
06/16/2018
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