Desert Spurs Primary Care, Pllc

LBN: Desert Spurs Primary Care, Pllc
Desert Spurs Primary Care, Pllc is an health care organization with primary practice located at 1355 Ramar Rd Ste. 10, Bullhead City AZ 86442-7100. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Desert Spurs Primary Care, Pllc can be contacted via phone (928) 444-8405, or through Bazaco, Robert J via phone (210) 464-8311.

Contact Information

Primary practice address
1355 Ramar Rd Ste. 10 Bullhead City AZ 86442-7100
Phone: (928) 444-8405
Fax: (928) 299-5300
Website:
Map and Directions
Authorized official contact:
Name: Bazaco, Robert J Doctor of Medicine (MD)
Phone: (210) 464-8311

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 48283 Arizona

Profile Details

NPI number 1730634965
LBN Legal business name Desert Spurs Primary Care, Pllc
DBA Doing business as
Authorized official Bazaco, Robert J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2016
Last updated Aug 17th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730634965 NPPES
Arizona Other P20970983 CORPORATION ID#

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