Organization
GILA HEALTH RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANISSA BOLING (OPERATIONS SUPPORT SPECIALIST)
(928) 865-7526
Entity
Organization
Contact information
Practice address
401 BURRO ALY, MORENCI, AZ 85540-9647
(928) 865-7502
(928) 865-9186
Mailing address
PO BOX 218, MORENCI, AZ 85540-0218
(928) 865-7500
(928) 865-9186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OTC3507
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
843088
—
AZ
Enumeration date
09/19/2005
Last updated
01/07/2026
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