Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avalon Biotechnical Corporation

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1942326020

Avalon Biotechnical Corporation is a Geriatric Medicine (Family Medicine) Physician in Lakeside, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007

Practice location Address checks out

3364 Kay Rd
Lakeside, AZ 85929-5405
Phone: (928) 368-8200
Fax: (928) 368-8208
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence 15235 (AZ)

Record details

NPI number1942326020
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Bauder — Owner · (928) 368-8200
NPI enumeratedMarch 21, 2007
Last updated in NPPESNovember 26, 2008
Mailing addressPo Box 1912, Show Low, AZ 85902-1912

Other providers in Lakeside