Organization · Type 2 NPI
Havasu Surgery Center
Ambulatory Surgical Clinic/Center · Lake Havasu City, AZ
NPI number
1386619484
Active
Practice location
1775 Mcculloch Blvd
Lake Havasu City, AZ 86403
Fax (928) 453-8271
Mailing address
103 Powell Ct, Ste. 200
Brentwood, TN 37027-5079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | OSC2912 (AZ) |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1386619484
Havasu Surgery Center's National Provider Identifier is 1386619484, issued on Feb 22, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Aug 22, 2020.