PANACEA BRAIN AND SPINE, LLC is a non pharmacy dispensing site in Lake Havasu City, AZ. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) PANACEA BRAIN AND SPINE, LLC NPI is 1154765121. The provider is registered as an organization entity type.
The provider's business location address is:
297 LAKE HAVASU AVE S
SUITE 204
LAKE HAVASU CITY, AZ
ZIP 86403-526
Phone: (928) 453-2211
The provider's authorized official is Chad E. Hartley .
The authorized official title is Owner and has the following contact phone number (928) 453-2211.
The enumeration date for this NPI number is 4/22/2013 and was last updated on 4/22/2013.