| Bullhead Primary Care, Llc | |
|
1355 Ramar Rd Ste 11a Bullhead City AZ 86442-7100 | |
| (928) 704-9217 | |
| Not Available |
| Full Name | Bullhead Primary Care, Llc |
|---|---|
| Speciality | General Practice |
| Location | 1355 Ramar Rd Ste 11a, Bullhead City, Arizona |
| Authorized Official Name and Position | Shakti Soni (MANAGER) |
| Authorized Official Contact | 9287049217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bullhead Primary Care, Llc 1355 Ramar Rd Ste 11a Bullhead City AZ 86442-7100 Ph: (928) 704-9217 | Bullhead Primary Care, Llc 1355 Ramar Rd Ste 11a Bullhead City AZ 86442-7100 Ph: (928) 704-9217 |
| NPI Number | 1346944022 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 03/29/2023 |
| Medicare PECOS PAC ID | 4981048840 |
|---|---|
| Medicare Enrollment ID | O20240219002484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346944022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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