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Havasu Surgical Specialists, Pc
Specialist in Lake Havasu City, Arizona
NPI 1063629087

Havasu Surgical Specialists, Pc is a Specialist based in Lake Havasu City, AZ. Havasu Surgical Specialists, Pc practices in Lake Havasu City, AZ. The NPI Number for Havasu Surgical Specialists, Pc is 1063629087 and holds a License No. 31136 (Arizona).

The current practice location address for Havasu Surgical Specialists, Pc is 1972 Mesquite Ave, Lake Havasu City, AZ and can be reached out via phone at 928-854-6508 and via fax at 928-854-6206.

Location: 1972 Mesquite Ave, Lake Havasu City, AZ, 86403-5729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063629087
Provider Name
Havasu Surgical Specialists, Pc
Credential
Provider Entity Type
Organization
Address
1972 Mesquite Ave, Lake Havasu City, AZ, 86403-5729
Phone Number
928-854-6508
Fax Number
928-854-6206
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
753261 05 AZ
institution
Provider Business Practice Location Address Details
Address
1972 Mesquite Ave
City
Lake Havasu City
State
Arizona
Zip
86403-5729
Phone Number
928-854-6508
Fax Number
928-854-6206
person
Provider Business Mailing Address Details
Address
1972 Mesquite Ave
City
Lake Havasu City
State
Arizona
Zip
86403-5729
Phone Number
928-854-6508
Fax Number
928-854-6206
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
31136 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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