| Avalon Biotechnical Corporation | |
|
3364 Kay Rd Lakeside AZ 85929-5405 | |
| (928) 368-8200 | |
| (928) 368-8208 |
| Full Name | Avalon Biotechnical Corporation |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 3364 Kay Rd, Lakeside, Arizona |
| Authorized Official Name and Position | Marc A Bauder (OWNER) |
| Authorized Official Contact | 9283688200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Biotechnical Corporation Po Box 1912 Show Low AZ 85902-1912 Ph: (928) 368-8200 | Avalon Biotechnical Corporation 3364 Kay Rd Lakeside AZ 85929-5405 Ph: (928) 368-8200 |
| NPI Number | 1942326020 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 11/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942326020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 15235 (Arizona) | Primary |
Dallas Peterson Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3401 Lockwood Dr, Lakeside, AZ 85929 Phone: 928-368-2060 | |
O Serrano Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 W White Mountain Blvd, Suite C, Lakeside, AZ 85929 Phone: 928-367-3637 Fax: 928-367-3638 | |
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