Organization · Type 2 NPI

Annual Wellness Centers LLC

Adult Medicine Physician · Lake Havasu City, AZ

NPI number 1609267038 Active

Practice location

116 Lake Havasu Ave S Ste 103
Lake Havasu City, AZ 86403-0811

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

About NPI 1609267038

Annual Wellness Centers LLC's National Provider Identifier is 1609267038, issued on Feb 6, 2015. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Feb 6, 2015.