SOUTHWEST EAR, NOSE & THROAT, PLLC

LAKE HAVASU CITY, AZ
NPI1861020703
Entity TypeOrganization
Authorized ContactMICHAEL PRATER
Owner / Member Manager
928-453-0303
Organization Subpart ?No
Primary Taxonomy207Y00000X Otolaryngology
Enumeration Date2020-03-27
Last Update Date2020-03-27
Business Address
SOUTHWEST EAR, NOSE & THROAT, PLLC
1760 MCCULLOCH BLVD N STE 102
LAKE HAVASU CITY, AZ 86403-6559
Phone number: 928-453-0303
Mailing Address
SOUTHWEST EAR, NOSE & THROAT, PLLC
1760 MCCULLOCH BLVD N STE 102
LAKE HAVASU CITY, AZ 86403-6559
Phone number: 928-453-0303
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