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Contact Information

AVALON BIOTECHNICAL CORPORATION
3364 KAY RD
LAKESIDE, AZ85929-5405
 Phone: 928-368-8200
 Fax: 928-368-8208
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for AVALON BIOTECHNICAL CORPORATION · (Female)

NPI Number 1942326020
Status Active
Credentials
Entity Individual
Enumeration date 03/21/2007
Last updated 11/26/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 15235
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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