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Contact Information

STARFIGHTER, LLC.
1501 W 24TH ST
YUMA, AZ85364-6370
 Phone: 928-344-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for STARFIGHTER, LLC.

NPI # 1588854145
LBN Legal business name STARFIGHTER, LLC.
Authorized official DONALD RUNYAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2007
Last updated 07/31/2007 - About 19 years ago
Identifiers
AZ License # 3599
AZ Medicaid XPY195112
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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