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1233 N Main St. Ste. 10 Yuma AZ 85349 | |
| (928) 257-0993 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1233 N Main St., Yuma, Arizona |
| Authorized Official Name and Position | Lisa Ling (MANAGER) |
| Authorized Official Contact | 9282570993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 25880 Yuma AZ 85367-1340 Ph: (928) 257-0993 | 1233 N Main St. Ste. 10 Yuma AZ 85349 Ph: (928) 257-0993 |
| NPI Number | 1447068473 |
|---|---|
| Provider Enumeration Date | 12/23/2024 |
| Last Update Date | 12/31/2024 |
| Certification Date | 12/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447068473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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