Organization
NORTHERN ARIZONA MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAFFAR IQBAL MD (OWNER)
(928) 757-8440
Entity
Organization
Contact information
Practice address
3555 WESTERN AVE, KINGMAN, AZ 86409-3291
(928) 757-8440
(928) 757-8448
Mailing address
3555 WESTERN AVE, KINGMAN, AZ 86409-3291
(928) 757-8440
(928) 757-8448
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357676
—
AZ
Enumeration date
11/04/2020
Last updated
11/04/2020
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