| Organization Name: | PAINTED DESERT PRIMARY CARE & GYNECOLOGY PC |
| NPI Number: | 1073986923 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERESA M BORCHERS (DIRECTOR) |
| Mailing Address: | 2020 Silver Creek Rd Bldg. B, Ste. 101a Bullhead City |
| State: | AZ US |
| Postal Code: | 864428476 |
| Phone Number: | 9287044336 |
| Fax Number: | 9287040410 |
| NPI Enumeration Date: | 11/01/2015 |
| NPI Last Update Date: | 11/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 3681 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |