Havasu Neurological Center Pllc

NPI 1063849388 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1063849388
Enumeration Date 10/01/2013
Last Updated 03/13/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MAAME A MAAME
Position OWNER/MEMBER
Phone (928) 680-4040
Fax (928) 680-4484
Practice Location
297 LAKE HAVASU AVE S
SUITE 106
LAKE HAVASU CITY AZ, 86403-6526, US
Phone (928) 680-4040
Fax (928) 680-4484
Business Location
297 LAKE HAVASU AVE S
SUITE 106
LAKE HAVASU CITY AZ, 86403-6526, US
Phone (928) 680-4040
Fax (928) 680-4484
Toxanomy
Taxonomy Code 2084N0400X
License State
License Number
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According to our database, Havasu Neurological Center Pllc NPI is 1063849388, taxonomy code is 2084N0400X Havasu Neurological Center Pllc physically located at 297 Lake Havasu Ave S, Lake Havasu City AZ, 86403-6526. NPI Number 1033115704 has the healthcare provider type.

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1063849388 NPI number is provided on an as is basis without warranty of any kind. 1063849388 is maintained by the National Plan & Provider Enumeration System. The contents of Havasu Neurological Center Pllc are for informational purposes only.