| Annual Wellness Centers Llc | |
|
116 Lake Havasu Ave S Ste 103 Lake Havasu City AZ 86403-0811 | |
| (928) 733-3311 | |
| Not Available |
| Full Name | Annual Wellness Centers Llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 116 Lake Havasu Ave S Ste 103, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Richard Byrd (OWNER) |
| Authorized Official Contact | 9284125005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Annual Wellness Centers Llc 116 Lake Havasu Ave S Ste 103 Lake Havasu City AZ 86403-0811 Ph: (928) 733-3311 | Annual Wellness Centers Llc 116 Lake Havasu Ave S Ste 103 Lake Havasu City AZ 86403-0811 Ph: (928) 733-3311 |
| NPI Number | 1609267038 |
|---|---|
| Provider Enumeration Date | 02/06/2015 |
| Last Update Date | 02/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609267038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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