Provider Demographics
NPI:1235857699
Name:EXCEPTIONAL PHYSICIANS GROUP YUMA HOSPITAL PLLC
Entity Type:Organization
Organization Name:EXCEPTIONAL PHYSICIANS GROUP YUMA HOSPITAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL SYSTEMS ADVISOR
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-888-7216
Mailing Address - Street 1:PO BOX 191308
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-8308
Mailing Address - Country:US
Mailing Address - Phone:469-341-7800
Mailing Address - Fax:
Practice Address - Street 1:2648 S ARABY RD
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-7236
Practice Address - Country:US
Practice Address - Phone:469-341-7800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-19
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty