DESERT SPURS PRIMARY CARE PLLC NPI 1730634965

NPI Information

DESERT SPURS PRIMARY CARE, PLLC is a family medicine in Bullhead City, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DESERT SPURS PRIMARY CARE, PLLC NPI is 1730634965. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1355 RAMAR RD
STE. 10
BULLHEAD CITY, AZ
ZIP 86442-100
Phone: (928) 444-8405
Fax: (928) 299-5300

The provider's authorized official is Robert J Bazaco .
The authorized official title is Owner and has the following contact phone number (210) 464-8311.

The CLIA number assigned to this NPI record is 03D2119948 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2016 and was last updated on 8/17/2016.

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:

Other Identifiers

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