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Organization
EDWARD E ROTAN MD INC
Active
Organization
EDWARD E ROTAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD EARL ROTAN JR. MD (PRESIDENT)
(951) 809-3746
Entity
Organization
Contact information
Practice address
2180 MCCULLOCH, SUITE 102, LAKE HAVASU CITY, AZ 86403-9998
(951) 809-3746
Mailing address
PO BOX 710, REDLANDS, CA 92373-4602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36877
AZ
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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