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Organization

YUMA INFECTIOUS DISEASES CENTER PLC

Active
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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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