MOHAVE PRIMARY CARE

KINGMAN, AZ
NPI1700909330
Entity TypeOrganization
Authorized ContactILANGOVAN GOVINDARAJAN
President
928-692-1900
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: AZ  25797)
Enumeration Date2007-04-09
Last Update Date2020-08-22
Business Address
MOHAVE PRIMARY CARE
975 SYCAMORE AVE
KINGMAN, AZ 86409-3548
Phone number: 928-692-1900
Mailing Address
MOHAVE PRIMARY CARE
2183 SENECA ST
KINGMAN, AZ 86401-6511
Phone number: 928-763-5948