Sego Medical Associates Llc | |
2082 Mesquite Ave Suite 106 Lake Havasu City AZ 86403-6710 | |
(928) 680-4233 | |
(928) 680-6522 |
Full Name | Sego Medical Associates Llc |
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Speciality | Internal Medicine |
Location | 2082 Mesquite Ave, Lake Havasu City, Arizona |
Authorized Official Name and Position | Elizabeth Smith-tryon (OWNER/MEMBER) |
Authorized Official Contact | 9285669958 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sego Medical Associates Llc 3361 Hilldale Dr Lake Havasu City AZ 86406-9062 Ph: (928) 566-9958 | Sego Medical Associates Llc 2082 Mesquite Ave Suite 106 Lake Havasu City AZ 86403-6710 Ph: (928) 680-4233 |
NPI Number | 1104102482 |
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Provider Enumeration Date | 10/31/2011 |
Last Update Date | 10/31/2011 |
Medicare PECOS PAC ID | 4688841315 |
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Medicare Enrollment ID | O20120120000849 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104102482 | NPI | - | NPPES |
L-1712856-3 | Other | AZ | LLC REGISTRATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Elizabeth Smith Tryon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700864436 PECOS PAC ID: 0648184002 Enrollment ID: I20060302000077 |
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Palo Verde Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1851 Mesquite Ave, Suite 106, Lake Havasu City, AZ 86403 Phone: 298-208-4611 Fax: 928-453-4645 | |
Frederic Luo, Md, Msee, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Mesquite Ave, Suite 102, Lake Havasu City, AZ 86403 Phone: 480-888-1900 Fax: 480-888-1934 | |
Arizona Heart Institute Lake Havasu Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 Mcculloch Blvd N, Suite A6, Lake Havasu City, AZ 86403 Phone: 520-505-4442 Fax: 602-240-6177 | |
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