| Edward E Rotan Md Inc | |
|
2180 Mcculloch Suite 102 Lake Havasu City AZ 86403-9998 | |
| (951) 809-3746 | |
| Not Available |
| Full Name | Edward E Rotan Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2180 Mcculloch, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Edward Earl Rotan (PRESIDENT) |
| Authorized Official Contact | 9518093746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward E Rotan Md Inc Po Box 710 Redlands CA 92373-4602 Ph: () - | Edward E Rotan Md Inc 2180 Mcculloch Suite 102 Lake Havasu City AZ 86403-9998 Ph: (951) 809-3746 |
| NPI Number | 1922267905 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 06/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922267905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36877 (Arizona) | Primary |
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