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1611 Joy Ln Fort Mohave AZ 86426-8807 | |
| (928) 788-1900 | |
| (928) 788-2048 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1611 Joy Ln, Fort Mohave, Arizona |
| Authorized Official Name and Position | Stephanie L Hendrix (OFFICE MANAGER) |
| Authorized Official Contact | 9287881900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4825 S Highway 95 Suite 5 #503 Fort Mohave AZ 86426-8315 Ph: (928) 788-1900 | 1611 Joy Ln Fort Mohave AZ 86426-8807 Ph: (928) 788-1900 |
| NPI Number | 1417173840 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417173840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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