Individual
SHAGHAYEGH ASSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 263-3160
Mailing address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 263-3160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4231
AZ
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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