| Organization Name: | ALL WELLNESS MEDICAL CENTER, PLLC |
| NPI Number: | 1154796969 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINA GOLDSTEIN-CHARBONNEAU (PHYSICIAN) |
| Mailing Address: | 2500 Canyon Rd Ste A2 Bullhead City |
| State: | AZ US |
| Postal Code: | 864428492 |
| Phone Number: | 9282190719 |
| Fax Number: | 9282220008 |
| NPI Enumeration Date: | 12/04/2015 |
| NPI Last Update Date: | 12/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 3675 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |