NPI

Asura Healthcare LLC

NPI 1669991485

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2017-09-13
Last updated
2017-09-13

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Specialties

Licenses

License AZ
AP3224
License AZ
41469

Location

Practice location
12075 E State Route 69 Ste B
City
Dewey AZ
Postal code
86327-4517
Phone
(405) 590-8861

Organization contact

Name
John Gilliam
Title
Medical Director
Phone
(405) 590-8861

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Dewey, AZ. 83 records in the public file.

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