Provider Demographics
NPI:1932145414
Name:ARTHRITIS CENTER OF YUMA, INC
Entity Type:Organization
Organization Name:ARTHRITIS CENTER OF YUMA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:BAZZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-314-1200
Mailing Address - Street 1:2095 W 24TH ST
Mailing Address - Street 2:STE C
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-6242
Mailing Address - Country:US
Mailing Address - Phone:928-314-1200
Mailing Address - Fax:928-314-1200
Practice Address - Street 1:2095 W 24TH ST
Practice Address - Street 2:STE C
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6242
Practice Address - Country:US
Practice Address - Phone:928-314-1200
Practice Address - Fax:928-314-1200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ75187Medicare ID - Type Unspecified