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Lake Havasu Ob/gyn, Pc
Medical Specialty Clinic/Center in Lake Havasu City, Arizona
NPI 1598944811

Lake Havasu Ob/gyn, Pc is a Medical Specialty Clinic/Center based in Lake Havasu City, AZ and is specialized in Medical Specialty. Lake Havasu Ob/gyn, Pc practices in Lake Havasu City, AZ. The NPI Number for Lake Havasu Ob/gyn, Pc is 1598944811 and holds a License No. 3696 (Arizona).

The current practice location address for Lake Havasu Ob/gyn, Pc is 99 Riviera Dr, Lake Havasu City, AZ and can be reached out via phone at 928-680-2846 and via fax at 928-680-2845.

Location: 99 Riviera Dr, Lake Havasu City, AZ, 86403-5713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598944811
Provider Name
Lake Havasu Ob/gyn, Pc
Credential
Provider Entity Type
Organization
Address
99 Riviera Dr, Lake Havasu City, AZ, 86403-5713
Phone Number
928-680-2846
Fax Number
928-680-2845
Provider Enumeration Date
11/02/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
434157 05 AZ
institution
Provider Business Practice Location Address Details
Address
99 Riviera Dr
City
Lake Havasu City
State
Arizona
Zip
86403-5713
Phone Number
928-680-2846
Fax Number
928-680-2845
person
Provider Business Mailing Address Details
Address
99 Riviera Dr
City
Lake Havasu City
State
Arizona
Zip
86403-5713
Phone Number
928-680-2846
Fax Number
928-680-2845
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
3696 (Arizona)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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