Organization
EXCEPTIONAL PHYSICIANS GROUP BULLHEAD CITY HOSPITAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHABANA AHMED (DIRECTOR)
(469) 341-7800
Entity
Organization
Contact information
Practice address
2365 HIGHWAY 95, BULLHEAD CITY, AZ 86442-6066
(928) 224-2443
Mailing address
3514 CEDAR SPRINGS RD, DALLAS, TX 75219-4901
(469) 341-7800
(469) 341-7887
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/28/2023
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