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Organization
MD HEALTH, INC.
Active
Organization
MD HEALTH, INC.
Active
Other names
MD IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT HAROLD INGHAM MD (MEDICAL DIRECTOR)
(702) 227-6947
Entity
Organization
Contact information
Practice address
276 LAKE HAVASU AVE S, #A-11, LAKE HAVASU CITY, AZ 86403-0851
(928) 453-0506
(928) 453-0508
Mailing address
1990 MCCULLOCH BLVD N, D-215, LAKE HAVASU CITY, AZ 86403-5749
(702) 227-6947
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
Primary
37903
AZ
2084N0400X
Neurology Physician
37903
AZ
Other
Enumeration date
06/04/2010
Last updated
07/28/2011
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