PANACEA BRAIN AND SPINE, LLC

LAKE HAVASU CITY, AZ
NPI1154765121
Entity TypeOrganization
Authorized ContactCHAD E. HARTLEY
Owner
928-453-2211
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2013-04-22
Last Update Date2013-04-22
Business Address
PANACEA BRAIN AND SPINE, LLC
297 LAKE HAVASU AVE S SUITE 204
LAKE HAVASU CITY, AZ 86403-6526
Phone number: 928-453-2211
Mailing Address
PANACEA BRAIN AND SPINE, LLC
2980 N BEVERLY GLEN CIR SUITE 301
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809
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