Foothills Blvd Clinic Llc

NPI 1801922356 - Family Medicine - 207Q00000X

NPI Details
NPI 1801922356
Enumeration Date 02/26/2007
Last Updated 02/03/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name STAMATIA FISSAS STAMATIA
Position OWNER/PHYSICIAN
Phone (928) 342-1814
Fax (928) 342-6154
Practice Location
11611 S FOOTHILLS BLVD
SUITE C
YUMA AZ, 85367, US
Phone (928) 342-1814
Fax (928) 342-6154
Business Location
11611 S FOOTHILLS BLVD
SUITE C
YUMA AZ, 85367, US
Phone (928) 342-1814
Fax (928) 342-6154
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1801922356 NPI Number
 

According to our database, Foothills Blvd Clinic Llc NPI is 1801922356, taxonomy code is 207Q00000X Foothills Blvd Clinic Llc physically located at 11611 S Foothills Blvd, Yuma AZ, 85367. NPI Number 1033115704 has the healthcare provider type.

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1801922356 NPI number is provided on an as is basis without warranty of any kind. 1801922356 is maintained by the National Plan & Provider Enumeration System. The contents of Foothills Blvd Clinic Llc are for informational purposes only.