Organization · Type 2 NPI
Red Tail Hawk Ranch PLLC
Addiction Medicine (Preventive Medicine) Physician · Kingman, AZ
NPI number
1811872153
Active
Practice location
3462 E Lawman Dr
Kingman, AZ 86401-6591
Fax (928) 251-8079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | None listed |
Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Another provider at this address
About NPI 1811872153
Red Tail Hawk Ranch PLLC's National Provider Identifier is 1811872153, issued on Aug 6, 2025. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Kingman, AZ. The record was last updated on Apr 28, 2026.