Organization Name: | ARIZONA INSTITUTE OF MEDICINE & SURGERY |
NPI Number: | 1396990800 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHAH SALIM (ADMINISTRATOR) |
Mailing Address: | 3636 Stockton Hill Road Kingman |
State: | AZ US |
Postal Code: | 86409 |
Phone Number: | 9287573680 |
Fax Number: | 9287573614 |
NPI Enumeration Date: | 11/25/2008 |
NPI Last Update Date: | 11/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | OTC660 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |