HAVASU FOOT & ANKLE CENTER NPI 1174582829

NPI Information

HAVASU FOOT & ANKLE CENTER is an ambulatory surgical clinic center in Lake Havasu City, AZ. HAVASU FOOT & ANKLE CENTER NPI is 1174582829. The provider is registered as an organization entity type.
The provider Other Name Is Havasu Foot & Ankle Surgicenter.

The provider's business location address is:

90 RIVIERA DR
LAKE HAVASU CITY, AZ
ZIP 86403-716
Phone: (928) 855-7800
Fax: (928) 855-5392

The provider's authorized official is Barbara Novack .
The authorized official title is Office Manager and has the following contact phone number (928) 855-7800.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 6/17/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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