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AVALON BIOTECHNICAL CORPORATION
NPI 1942326020
Family Medicine - Geriatric Medicine in Lakeside, AZ

Active since March 21, 2007
3364 KAY RD, LAKESIDE, AZ 85929(928) 368-8200(928) 368-8208 Get Directions Write a Review

NPPES record last updated: November 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avalon Biotechnical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVALON BIOTECHNICAL CORPORATION (NPI 1942326020) is a healthcare organization registered as a geriatric medicine in Lakeside, Arizona and active in the NPI registry since March 2007. The organization lists Marc A Bauder, Owner, as its authorized official.

NPPES Registry Identity

NPI1942326020
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameAVALON BIOTECHNICAL CORPORATION
Location Address3364 KAY RDLakeside, AZ 85929-5405
Mailing AddressPo Box 1912Show Low, AZ 85902-1912 · (928) 368-8200 · Fax (928) 368-8208
Phone(928) 368-8200
Fax(928) 368-8208
Organization SubpartNo
Authorized OfficialMarc A BauderOwner · (928) 368-8200
Enumeration DateMarch 21, 2007
Last NPPES UpdateNovember 26, 2008
✔ NPI 1942326020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in AZ · 15235
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
3364 KAY RD, Lakeside, AZ 85929
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Other Identifiers 1

Medicare PINZ103100AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avalon Biotechnical Corporation's NPI number?

The NPI number for Avalon Biotechnical Corporation is 1942326020. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Avalon Biotechnical Corporation located?

Avalon Biotechnical Corporation is located at 3364 Kay Rd, Lakeside, AZ 85929. The listed phone number is (928) 368-8200.

What is Avalon Biotechnical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Avalon Biotechnical Corporation was last updated on November 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.