Provider Demographics
NPI:1740571447
Name:NORTHERN ARIZONA MEDICAL CARE PLLC
Entity Type:Organization
Organization Name:NORTHERN ARIZONA MEDICAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOJAT
Authorized Official - Middle Name:
Authorized Official - Last Name:ASKARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-308-5990
Mailing Address - Street 1:813 COVE PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-4663
Mailing Address - Country:US
Mailing Address - Phone:928-649-8250
Mailing Address - Fax:928-649-8255
Practice Address - Street 1:813 COVE PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-4663
Practice Address - Country:US
Practice Address - Phone:928-649-8250
Practice Address - Fax:928-649-8255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty