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Organization

ABAN CARE CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GUILLERMO G ZEGARRA M.D. (MEMBER/PHYSICIAN)
(928) 758-6420
Entity
Organization

Contact information

Practice address
2182 HIGHWAY 95, BULLHEAD CITY, AZ 86442-6044
(928) 758-6420
(928) 758-6509
Mailing address
PO BOX 20247, BULLHEAD CITY, AZ 86439-0247
(928) 758-6420
(928) 758-6509

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32150
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2976
BUSINESS LICENSE
AZ
05
932401
AZ
Enumeration date
10/04/2006
Last updated
07/24/2025
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