| NPI | 1346944022 |
|---|---|
| Doing Business As | BULLHEAD PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | SHAKTI SONI Manager 928-704-9217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-29 |