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5300 Hwy 95 Suite I Fort Mohave AZ 86426-9251 | |
| (928) 788-1920 | |
| (928) 788-1911 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 5300 Hwy 95, Fort Mohave, Arizona |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5300 Hwy 95 Suite I Fort Mohave AZ 86426-9251 Ph: (928) 788-1920 | 5300 Hwy 95 Suite I Fort Mohave AZ 86426-9251 Ph: (928) 788-1920 |
| NPI Number | 1639517915 |
|---|---|
| Provider Enumeration Date | 06/10/2013 |
| Last Update Date | 01/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639517915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | 42938 (Arizona) | Primary |
Vista Health Mirza Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5653 S Highway 95, Ste A, Fort Mohave, AZ 86426 Phone: 928-768-2558 Fax: 928-768-2874 | |
Kaye A Cunningham Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5653 Hwy 95, Suite A, Fort Mohave, AZ 86426 Phone: 928-768-2558 Fax: 928-788-2039 | |
Grapevine Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5300 S Highway 95, Suite H, Fort Mohave, AZ 86426 Phone: 928-788-6060 Fax: 928-788-6062 | |
Valley View Physician Practices Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 E Hammer Ln Ste 109, Fort Mohave, AZ 86426 Phone: 928-788-4949 Fax: 928-788-4953 | |
Blue River Health & Wellness, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1520 E Hammer Ln Ste 104, Fort Mohave, AZ 86426 Phone: 602-315-0211 |