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Highway 70, Mp 295.6 Bylas AZ 85530 | |
(928) 475-2686 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | Highway 70, Mp 295.6, Bylas, Arizona |
Authorized Official Name and Position | Shirley M Boni (ADMINISTRATIVE OFFICER) |
Authorized Official Contact | 9284757348 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 149 Bylas AZ 85530-0149 Ph: (928) 475-2686 | Highway 70, Mp 295.6 Bylas AZ 85530 Ph: (928) 475-2686 |
NPI Number | 1790038743 |
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Provider Enumeration Date | 10/16/2012 |
Last Update Date | 10/16/2012 |
Identifier | Type | State | Issuer |
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1790038743 | NPI | - | NPPES |