HomeNPI Verification

NPI Verification

National Provider Identifier: 1073699112

Aims Physicians and Surgeons

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (6)

Anesthesiology, Pain Medicine

Code: 207LP2900X

Podiatrist

Code: 213E00000X

Internal Medicine

Code: 207R00000X

Pediatrics

Code: 208000000X

Surgery

Code: 208600000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

3636 STOCKTON HILL ROAD

KINGMAN, AZ 86409

Phone: 928-757-3636

NPI Enumeration Date

October 31, 2006

NPI Number

1073699112

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry