Organization
FASTRAX URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONOVAN SCHMIDT D.O. (MANAGING PARTNER)
(928) 753-3303
Entity
Organization
Contact information
Practice address
2002 STOCKTON HILL RD, STE, KINGMAN, AZ 86401-4698
(928) 753-3303
Mailing address
2002 STOCKTON HILL RD, STE, KINGMAN, AZ 86401-4698
(928) 753-3303
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
OTC3597
AZ
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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