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Contact Information

DESERT PALMS MEDICAL ASSOCIATES INC
3015 HIGHWAY 95 STE 105
BULLHEAD CITY, AZ86442-4334
 Phone: 928-763-2001
 Fax: 928-763-2038
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for DESERT PALMS MEDICAL ASSOCIATES INC

NPI # 1467509372
LBN Legal business name DESERT PALMS MEDICAL ASSOCIATES INC
Authorized official HEATHER BRENNAN - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/04/2007
Last updated 06/30/2022 - About 4 years ago
Identifiers
AZ License # 23472
AZ Medicaid 323171
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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