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SOUTHWEST EAR NOSE & THROAT PLLC NPI 1861020703


NPI Information

NPI: 1861020703
Provider Name: SOUTHWEST EAR, NOSE & THROAT, PLLC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
1760 MCCULLOCH BLVD N STE 102
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 453-0303
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SOUTHWEST EAR, NOSE & THROAT, PLLC is an otolaryngology in Lake Havasu City, AZ. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. SOUTHWEST EAR, NOSE & THROAT, PLLC NPI is 1861020703. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1760 MCCULLOCH BLVD N STE 102
LAKE HAVASU CITY, AZ
ZIP 86403-559
Phone: (928) 453-0303
Fax: (928) 453-0338

The provider's authorized official is Michael Prater .
The authorized official title is Owner / Member Manager and has the following contact phone number (928) 453-0303.

The enumeration date for this NPI number is 3/27/2020 and was last updated on 3/27/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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