| NPI | 1154051753 |
|---|---|
| Doing Business As | LAKE HAVASU PEDIATRIC FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | AMANDA AGUIRRE President & CEO 928-315-7910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2023-09-07 |