Gila Valley Medical Group Llc
LBN: Gila Valley Medical Group Llc
Gila Valley Medical Group Llc is an health care organization with primary practice located at 1951 West 25Th Street Suite D, Yuma AZ 85364. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Gila Valley Medical Group Llc can be contacted via phone (928) 344-6263, or through Brooksher, Ronald D via phone (928) 344-6263.
Contact Information
Primary practice address
1951 West 25Th Street Suite D
Yuma AZ 85364
Phone: (928) 344-6263
Fax: (928) 785-9572
Website:
Authorized official contact:
Name: Brooksher, Ronald D Doctor of Medicine (MD)
Phone: (928) 344-6263
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20396 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2125 | Arizona |
Profile Details
| NPI number | 1992929004 |
|---|---|
| LBN Legal business name | Gila Valley Medical Group Llc |
| DBA Doing business as | |
| Authorized official | Brooksher, Ronald D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | May 7th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992929004 | NPPES |
| Other | 076275001 | AACCS |
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