# EDWARD E ROTAN MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922267905
- **Authorized official:** DR. EDWARD EARL ROTAN JR. MD (PRESIDENT)
- **Authorized official phone:** (951) 809-3746

## Contact information

- **Practice address:** 2180 MCCULLOCH, SUITE 102, LAKE HAVASU CITY, AZ 86403-9998
- **Practice address phone:** (951) 809-3746
- **Mailing address:** PO BOX 710, REDLANDS, CA 92373-4602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 36877 | AZ | Yes |

## Other

- **Enumeration date:** 06/05/2008
- **Last updated:** 06/05/2008