Individual
DR. WALDEMAR KLIMACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3675 CHEYENNE AVE, KINGMAN, AZ 86401-6519
(928) 716-6060
Mailing address
3675 CHEYENNE AVE, KINGMAN, AZ 86401-6519
(928) 716-6060
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9501
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038552
HEALTHNET NUMBER
AZ
01
—
224329
AHCCCS NUMBER
AZ
01
—
AZ0022410
ARIZONA BLUE CROSS BLUE S
AZ
Enumeration date
04/07/2007
Last updated
01/26/2017
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