| Zia Way | |
|
5036 Stockton Hill Rd Kingman AZ 86409-1127 | |
| (928) 377-1615 | |
| (928) 692-1888 |
| Full Name | Zia Way |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5036 Stockton Hill Rd, Kingman, Arizona |
| Authorized Official Name and Position | Ernest Lavere Harman (PHYSICIAN) |
| Authorized Official Contact | 6283771615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zia Way 3880 N Stockton Hill Rd Ste 103134 Kingman AZ 86409-0595 Ph: (928) 377-1615 | Zia Way 5036 Stockton Hill Rd Kingman AZ 86409-1127 Ph: (928) 377-1615 |
| NPI Number | 1699027201 |
|---|---|
| Provider Enumeration Date | 10/05/2012 |
| Last Update Date | 02/11/2022 |
| Certification Date | 02/11/2022 |
| Medicare PECOS PAC ID | 9537394788 |
|---|---|
| Medicare Enrollment ID | O20131024001776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699027201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 24649 (Arizona) | Primary |
| Provider Name | Ernest L Harman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700872488 PECOS PAC ID: 0143290742 Enrollment ID: I20040730000039 |
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