Edward Jacob Arias, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Kingman, AZ
NPI 1104668599 · NPPES record last updated Jun 7, 2024
Key facts
- NPI
- 1104668599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- R4227 (AZ)
- Practice address
- 3269 N Stockton Hill Rd
Kingman, AZ 86409-3619 - Phone
- (928) 263-3160
- NPI assigned
- Jun 7, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4227 | AZ | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | R4227 | AZ | Yes |
Addresses
Primary practice location
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Mailing address
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 263-3160
Other providers in Kingman, AZ
- Amerest Anderson
- Leellen Lou Anderson
- Melissa Anderson
- Robert Anderson
- Joanne Kaye Appelhans
- Arizona CVS Stores, L.L.C.
- Arizona Desert Dermatology and Surgery PC
- Arizona Institure of Medicine & Surgery
- Arizona Institute of Medicine & Surgery
- Arizona Institute of Medicine and Surgery
All providers in Kingman, AZ · Student in an Organized Health Care Education/Training Program in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.