| Painted Desert Primary Care & Gynecology Pc | |
|
2020 Silver Creek Rd Bldg. B, Ste. 101a Bullhead City AZ 86442-8476 | |
| (928) 704-4336 | |
| (928) 704-0410 |
| Full Name | Painted Desert Primary Care & Gynecology Pc |
|---|---|
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 2020 Silver Creek Rd, Bullhead City, Arizona |
| Authorized Official Name and Position | Teresa M Borchers (DIRECTOR) |
| Authorized Official Contact | 9287044336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Painted Desert Primary Care & Gynecology Pc 2020 Silver Creek Rd Bldg. B, Ste. 101a Bullhead City AZ 86442-8476 Ph: (928) 704-4336 | Painted Desert Primary Care & Gynecology Pc 2020 Silver Creek Rd Bldg. B, Ste. 101a Bullhead City AZ 86442-8476 Ph: (928) 704-4336 |
| NPI Number | 1073986923 |
|---|---|
| Provider Enumeration Date | 11/01/2015 |
| Last Update Date | 11/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073986923 | NPI | - | NPPES |
| 20420279 | Other | AZ | ARIZONA CORPORATION FILE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 3681 (Arizona) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 3681 (Arizona) | Primary |
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