institution
Innovative Primary Care Of Havasu Llc
Primary Care Clinic/Center in Lake Havasu City, Arizona
NPI 1619633088

Innovative Primary Care Of Havasu Llc is a Primary Care Clinic/Center based in Lake Havasu City, AZ and is specialized in Primary Care. Innovative Primary Care Of Havasu Llc practices in Lake Havasu City, AZ. The NPI Number for Innovative Primary Care Of Havasu Llc is 1619633088 and holds a License No. (Arizona).

The current practice location address for Innovative Primary Care Of Havasu Llc is 1945 Mesquite Ave Ste B, Lake Havasu City, AZ and can be reached out via phone at 928-733-6287 and via fax at 928-733-6305. You can also correspond with Innovative Primary Care Of Havasu Llc through the mailing address at 1945 MESQUITE AVE STE B, LAKE HAVASU CITY, AZ - 86403-5889 (mailing address contact number: 928-733-6287).

Location: 1945 Mesquite Ave Ste B, Lake Havasu City, AZ, 86403-5889
institution
Provider Profile Details
NPI Number
1619633088
Provider Name
Innovative Primary Care Of Havasu Llc
Credential
Provider Entity Type
Organization
Address
1945 Mesquite Ave Ste B, Lake Havasu City, AZ, 86403-5889
Phone Number
928-733-6287
Fax Number
928-733-6305
Provider Enumeration Date
11/10/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
258797 01 AZ ARIZONA NP LICENSE
institution
Provider Business Practice Location Address Details
Address
1945 Mesquite Ave Ste B
City
State
Zip
86403-5889
Phone Number
928-733-6287
Fax Number
928-733-6305
person
Provider Business Mailing Address Details
Address
1945 Mesquite Ave Ste B
City
State
Zip
86403-5889
Phone Number
928-733-6287
Fax Number
928-733-6305
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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