Organization
HAVASU MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY LOU CALLERAME II M.D. (M.D.)
(928) 453-3007
Entity
Organization
Contact information
Practice address
1955 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403-5748
(928) 453-3007
(928) 680-9663
Mailing address
1955 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403-5748
(928) 453-3007
(928) 680-9663
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/24/2005
Last updated
11/18/2009
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