| Smith Tryon Family Health Inc D.b.a. Blue Water Medical | |
|
1801 Mesquite Ave Lake Havasu City AZ 86403-5664 | |
| (928) 453-6963 | |
| (928) 453-7015 |
| Full Name | Smith Tryon Family Health Inc D.b.a. Blue Water Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 1801 Mesquite Ave, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Elizabeth Anne Smith Tryon (PRESIDENT) |
| Authorized Official Contact | 9284536963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smith Tryon Family Health Inc D.b.a. Blue Water Medical 1990 Mcculloch Blvd N Suite D, Box 379d Lake Havasu City AZ 86403-5749 Ph: (928) 453-6963 | Smith Tryon Family Health Inc D.b.a. Blue Water Medical 1801 Mesquite Ave Lake Havasu City AZ 86403-5664 Ph: (928) 453-6963 |
| NPI Number | 1336104462 |
|---|---|
| Provider Enumeration Date | 04/20/2006 |
| Last Update Date | 09/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336104462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35026 (Arizona) | Primary |
| 207R00000X | Internal Medicine | 35026 (Arizona) | Secondary |
| 208D00000X | General Practice | 2768 (Arizona) | Secondary |
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Havasu Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1955 Mcculloch Blvd N, Lake Havasu City, AZ 86403 Phone: 928-453-3007 Fax: 928-680-9663 | |
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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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