Organization
YUMA INFECTIOUS DISEASES CENTER PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENGIDA BEKELE ALEMU MD (PRESIDENT)
(928) 314-3201
Entity
Organization
Contact information
Practice address
2281 W 24TH ST, SUITE 11, YUMA, AZ 85364-6154
(928) 314-3201
(928) 314-3202
Mailing address
2281 W 24TH ST, SUITE 11, YUMA, AZ 85364-6154
(928) 314-3201
(928) 314-3202
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
37473
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710916705
PERSONAL UPIN
AZ
Enumeration date
11/07/2007
Last updated
07/29/2014
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