Dr Jeff Carls | |
1720 Mesquite Ave Ste 202 Lake Havasu City AZ 86403-5644 | |
(928) 855-1550 | |
(928) 855-4008 |
Full Name | Dr Jeff Carls |
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Speciality | Family Medicine |
Location | 1720 Mesquite Ave Ste 202, Lake Havasu City, Arizona |
Authorized Official Name and Position | Jeffrey Carls (PRESIDENT) |
Authorized Official Contact | 9288551550 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dr Jeff Carls 1720 Mesquite Ave Ste 202 Lake Havasu City AZ 86403-5644 Ph: (928) 855-1550 | Dr Jeff Carls 1720 Mesquite Ave Ste 202 Lake Havasu City AZ 86403-5644 Ph: (928) 855-1550 |
NPI Number | 1760093595 |
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Provider Enumeration Date | 08/14/2020 |
Last Update Date | 07/12/2023 |
Medicare PECOS PAC ID | 0840617080 |
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Medicare Enrollment ID | O20201023002725 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760093595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jeffrey J Carls |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871511295 PECOS PAC ID: 3870574767 Enrollment ID: I20041201000443 |
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