Organization Name: | AIMS OUTPATIENT SURGERY |
NPI Number: | 1063408649 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHAH SALIM (ADMINISTRATOR) |
Mailing Address: | 3636 N Stockton Hill Rd Kingman |
State: | AZ US |
Postal Code: | 864090514 |
Phone Number: | 9287573690 |
Fax Number: | 9287573635 |
NPI Enumeration Date: | 09/20/2005 |
NPI Last Update Date: | 12/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | OSC0074 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |