Asura Healthcare LLC

NPI #1669991485 in Dewey, Arizona

Provider Information

NPI Number: 1669991485
Entity Type: Organization
Organization Name: Asura Healthcare LLC
Primary Specialty: Family Medicine
Enumeration Date: Sep 13, 2017
Last Updated: Sep 13, 2017

Practice Location

Address: 12075 E STATE ROUTE 69 STE B
City: Dewey
State: Arizona
ZIP Code: 86327-4517
Phone: (405) 590-8861

Authorized Official

Name: DR. JOHN S GILLIAM, MD
Title: MEDICAL DIRECTOR
Phone: (405) 590-8861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Family Medicine	207Q00000X	Primary

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