Organization
NORTHERN ARIZONA MEDICAL GROUP, PLLC
Active
Parent organization
NORTHERN ARIZONA MEDICAL GROUP PLLC
Other names
Northern Arizona Medical Group PLLC, Northern Arizona Medical Group Urgent Care Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHERN ARIZONA MEDICAL GROUP PLLC
Authorized official
BOBBI NEUBARTH (OFFICE MANAGER)
(928) 757-8440
Entity
Organization
Contact information
Practice address
3555 WESTERN AVE, KINGMAN, AZ 86409-3011
(928) 757-8440
(928) 757-5460
Mailing address
3555 WESTERN AVE, KINGMAN, AZ 86409-3011
(928) 757-8440
(928) 757-5460
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
32218
AZ
261QU0200X
Urgent Care Clinic/Center
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357676
—
AZ
Enumeration date
07/14/2015
Last updated
11/13/2018
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