Organization
DAVIS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL H QUINTERO (MANAGER)
(928) 634-5118
Entity
Organization
Contact information
Practice address
55 S 6TH ST, COTTONWOOD, AZ 86326-4237
(928) 634-5118
(928) 634-8522
Mailing address
55 S 6TH ST, COTTONWOOD, AZ 86326-4237
(928) 634-5118
(928) 634-8522
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2222
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294504
—
AZ
01
—
50083893
MEDICARE RAILROAD
AZ
01
—
AZ0897350
BCBS
AZ
Enumeration date
08/13/2006
Last updated
01/21/2009
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