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FOOTHILLS WALKIN MEDICAL NPI 1730309717


NPI Information

NPI: 1730309717
Provider Name: FOOTHILLS WALKIN MEDICAL

Former Legal Business Name: LEVEL 4 INC

Classification: Legal Medicine - 173000000X
Entity Type: Organization

CLIA Number: 03D0969110

Address:
11274 S FORTUNA RD
SUITE I-4
YUMA, AZ
ZIP 85367
Phone: (928) 345-2150
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FOOTHILLS WALKIN MEDICAL is a legal medicine in Yuma, AZ. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. FOOTHILLS WALKIN MEDICAL NPI is 1730309717. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Level 4 Inc.

The provider's business location address is:

11274 S FORTUNA RD
SUITE I-4
YUMA, AZ
ZIP 85367-847
Phone: (928) 345-2150
Fax: (928) 345-2151

The provider's authorized official is Ana Cecilia Gonzalez .
The authorized official title is Pa-c and has the following contact phone number (928) 345-2150.

The CLIA number assigned to this NPI record is 03D0969110 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/22/2020.


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
1173000000XLegal Medicine3278ARIZONAYes

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: 11/14/2023

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