Organization
AIM HEALTHCARE PROVIDERS YUMA CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KARANIUK (CREDENTIALING DIRECTOR)
(484) 494-2465
Entity
Organization
Contact information
Practice address
1200 S CASTLE DOME AVE STE D, YUMA, AZ 85365-5305
(928) 275-8769
(928) 569-0869
Mailing address
161 E RIVULON BLVD STE 210, GILBERT, AZ 85297-0087
(804) 942-4654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
03/28/2024
Last updated
12/09/2024
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