Organization
BASHIR AHMED AZHER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASHIR AHMED AZHER MD (OWNER)
(928) 763-5110
Entity
Organization
Contact information
Practice address
1467 PALMA RD, SUITE 4, BULLHEAD CITY, AZ 86442-6785
(928) 763-5110
(928) 763-1091
Mailing address
1467 PALMA RD, SUITE 4, BULLHEAD CITY, AZ 86442-6785
(928) 763-5110
(928) 763-1091
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
14725
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239542
—
AZ
Enumeration date
10/15/2007
Last updated
03/15/2011
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