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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

NPI Number 1942326020
LBN Legal business name AVALON BIOTECHNICAL CORPORATION
Authorized official MARC BAUDER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/21/2007
Last updated 11/26/2008 - About 18 years ago
Identifiers
AZ License # 15235
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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