| Michael S Rosen Pc | |
|
2082 Mesquite Ave Suite A106 Lake Havasu City AZ 86403-6710 | |
| (928) 680-4233 | |
| (928) 680-6522 |
| Full Name | Michael S Rosen Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2082 Mesquite Ave, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Michael S Rosen (OWNER) |
| Authorized Official Contact | 9286804233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael S Rosen Pc Po Box 2820 Lake Havasu City AZ 86405-2820 Ph: (928) 680-4233 | Michael S Rosen Pc 2082 Mesquite Ave Suite A106 Lake Havasu City AZ 86403-6710 Ph: (928) 680-4233 |
| NPI Number | 1366625584 |
|---|---|
| Provider Enumeration Date | 12/11/2007 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366625584 | NPI | - | NPPES |
| 2Z2025 | Other | HEALTH NET | |
| DD0594 | Other | RAILROAD MEDICARE | |
| 744632 | Medicaid | AZ | |
| AZ0767860 | Other | BCBS AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30884 (Arizona) | Primary |
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