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MOHAVE GASTROENTEROLOGY PC NPI 1386895126


NPI Information

NPI: 1386895126
Provider Name: MOHAVE GASTROENTEROLOGY, PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2020 SILVER CREEK RD
BUILDING A SUITE 220
BULLHEAD CITY, AZ
ZIP 86442
Phone: (928) 763-2500
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MOHAVE GASTROENTEROLOGY, PC is a specialist in Bullhead City, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MOHAVE GASTROENTEROLOGY, PC NPI is 1386895126. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2020 SILVER CREEK RD
BUILDING A SUITE 220
BULLHEAD CITY, AZ
ZIP 86442-476
Phone: (928) 763-2500
Fax: (928) 763-0027

The provider's authorized official is Jeffrey Niizawa .
The authorized official title is President/owner and has the following contact phone number (928) 763-2500.

The enumeration date for this NPI number is 10/9/2008 and was last updated on 10/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.