| Havasu Medical Care | |
|
1955 Mcculloch Blvd N Lake Havasu City AZ 86403-5748 | |
| (928) 453-3007 | |
| (928) 680-9663 |
| Full Name | Havasu Medical Care |
|---|---|
| Speciality | General Practice |
| Location | 1955 Mcculloch Blvd N, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Mary Lou Callerame (M.D.) |
| Authorized Official Contact | 9284533007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Havasu Medical Care 1955 Mcculloch Blvd N Lake Havasu City AZ 86403-5748 Ph: (928) 453-3007 | Havasu Medical Care 1955 Mcculloch Blvd N Lake Havasu City AZ 86403-5748 Ph: (928) 453-3007 |
| NPI Number | 1033109863 |
|---|---|
| Provider Enumeration Date | 10/24/2005 |
| Last Update Date | 11/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033109863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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