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Contact Information

ARIZONA GRAND MEDICAL CENTER, PLLC
3773 CROSSINGS DR
SUITE C
PRESCOTT, AZ86305-7140
 Phone: 928-771-9693
 Fax: 928-708-0505
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ARIZONA GRAND MEDICAL CENTER, PLLC

NPI Number 1871922989
LBN Legal business name ARIZONA GRAND MEDICAL CENTER, PLLC
Authorized official SATTY BHOWRA - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2013
Last updated 11/08/2013 - About 13 years ago
Identifiers n/a
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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