Organization · Type 2 NPI
Prescott Vamc
VA Clinic/Center · Lake Havasu City, AZ
NPI number
1720034697
Active
Practice location
145 Park Ave
Lake Havasu City, AZ 86403-9302
Fax (702) 341-3503
Mailing address
PO Box 94411
Cleveland, OH 44101-4411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
About NPI 1720034697
Prescott Vamc's National Provider Identifier is 1720034697, issued on May 25, 2006. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Feb 20, 2025.