| Organization Name: | ALL WOMEN'S REGIONAL MEDICAL CENTER, PC |
| NPI Number: | 1164881405 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINA GOLDSTEIN-CHARBONNEAU (FOUNDER MD) |
| Mailing Address: | 2500 Canyon Rd Ste A1 Bullhead City |
| State: | AZ US |
| Postal Code: | 864428624 |
| Phone Number: | 9287044499 |
| Fax Number: | 9287044949 |
| NPI Enumeration Date: | 02/15/2016 |
| NPI Last Update Date: | 02/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | TAP 8360 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |