| |
5130 S Highway 95, Fort Mohave, AZ 86426-9374 | |
(928) 768-2811 | |
(928) 768-9787 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Multi-specialty |
Location | 5130 S Highway 95, Fort Mohave, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518082122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | B542 (Nevada) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
5130 Highway 95, Fort Mohave, AZ 86426 Ph: (928) 768-2811 | 5130 S Highway 95, Fort Mohave, AZ 86426-9374 Ph: (928) 768-2811 |