Edmund M Mitchell I, MD | |
2035 Mesquite Avenue, Lake Havasu City, AZ 86403-5894 | |
(928) 453-1101 | |
(928) 453-1171 |
Full Name | Edmund M Mitchell I |
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Gender | Male |
Speciality | Family Medicine |
Location | 2035 Mesquite Avenue, Lake Havasu City, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164422127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 43534 (Arizona) | Primary |
Entity Name | Mt Graham Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275588345 PECOS PAC ID: 6204822364 Enrollment ID: O20040423000105 |
Mailing Address | Practice Location Address |
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Edmund M Mitchell I, MD 2035 Mesquite Ave, Lake Havasu City, AZ 86403-5894 Ph: (928) 453-1101 | Edmund M Mitchell I, MD 2035 Mesquite Avenue, Lake Havasu City, AZ 86403-5894 Ph: (928) 453-1101 |
Kristy M Whelan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2082 Mesquite Ave, Suite 106, Lake Havasu City, AZ 86403 Phone: 928-680-4233 Fax: 928-680-6522 | |
Manu Lonial, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1741 Mesquite Ave # 100, Lake Havasu City, AZ 86403 Phone: 928-782-7972 Fax: 928-329-4522 | |
Ashley Marie Mulder, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1987 Mcculloch Blvd N Ste 101, Lake Havasu City, AZ 86403 Phone: 928-733-6291 Fax: 928-733-6294 | |
Kelli M Ward, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2090 Smoketree Ave N, Lake Havasu City, AZ 86403 Phone: 928-854-1800 Fax: 928-854-1847 | |
Michael Stephen Rosen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2082 Mesquite Ave, Suite A106, Lake Havasu City, AZ 86403 Phone: 928-680-4233 Fax: 928-680-6522 | |
Marie Annette Ohaver, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1720 Mesquite Ave Ste 100, Lake Havasu City, AZ 86403 Phone: 928-412-8088 Fax: 928-412-8807 |