HUALAPAI MOUNTAIN MEDICAL PROFEES LLC NPI 1417289810

NPI Information

HUALAPAI MOUNTAIN MEDICAL PROFEES, LLC is a specialist in Kingman, 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. HUALAPAI MOUNTAIN MEDICAL PROFEES, LLC NPI is 1417289810. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3801 SANTA ROSA
KINGMAN, AZ
ZIP 86401-311
Phone: (928) 263-5000

The provider's authorized official is Duane Scholer .
The authorized official title is President and has the following contact phone number (928) 263-5111.

The enumeration date for this NPI number is 2/10/2010 and was last updated on 2/10/2010.

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:

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