Arizona Family Medicine Pc in Lake Havasu City - Family Medicine

Arizona Family Medicine Pc - NPI 1548426489

Arizona Family Medicine Pc is a Family Medicine in Lake Havasu City, Arizona. Arizona Family Medicine Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Arizona Family Medicine Pc is 1548426489. The last update date is 2008-08-29.

Arizona Family Medicine Pc's current location address is Po Box 3510, Lake Havasu City, Arizona. You can contact this provider via phone number 9286804233 and fax number 9286806522. The mailing address for Arizona Family Medicine Pc is Po Box 3510, Lake Havasu City, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Arizona Family Medicine Pc
Address Po Box 3510, Lake Havasu City, Arizona
Phone Number 9286804233
Fax Number 9286806522
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Hade Douglas R
Credentials MD
Telephone Number 9286804233

NPI Number Detail

NPI Number 1548426489
Provider Enumeration Date 2008-07-30
Last Updated Date 2008-08-29

Provider Mailing Address Detail

Address Po Box 3510
City Lake Havasu City
State Arizona (AZ)
Post Code 864053510
Phone Number 9286804233
Fax Number 9286806522

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 18114
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
80153530 AZ RAILROAD MEDICARE
AZ0327480 AZ BLUE CROSS BLUE SHIELD
Z24643 AZ MEDICARE GROUP #
1Z9241 AZ HEALTH NET
16122 AZ --

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FAQs about Arizona Family Medicine Pc

What is the unique identifier code issued to Arizona Family Medicine Pc by the Centers for Medicare & Medicaid Services?

The Arizona Family Medicine Pc has been assigned the NPI (National Provider Identifier) 1548426489. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Arizona Family Medicine Pc's facilities are situated?

The facilities of Arizona Family Medicine Pc are physically located at the following address: Po Box 3510, Lake Havasu City, AZ, 864053510.

What is the Arizona Family Medicine Pc's specialty and taxonomy code?

The Arizona Family Medicine Pc's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

When did the Arizona Family Medicine Pc receive its 1548426489?

The Arizona Family Medicine Pc was issued its 1548426489 on 2008-07-30, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Arizona Family Medicine Pc most recently updated or revised?

The details related to Arizona Family Medicine Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-29.

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