Organization
ARIZONA COMMUNITY HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD H KOWALESKI MD (OWNER/PHYSICIAN)
(928) 927-4226
Entity
Organization
Contact information
Practice address
255 N CENTRAL BLVD, STE 4, QUARTZSITE, AZ 85346
(928) 927-4226
(928) 927-4231
Mailing address
PO BOX 2659, QUARTZSITE, AZ 85346-2659
(928) 927-4226
(928) 927-4231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16098
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
451839
—
AZ
Enumeration date
01/25/2008
Last updated
10/05/2010
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