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Organization

POWAR PAIN CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANDEEP POWAR MD (OWNER)
(928) 453-0696
Entity
Organization

Contact information

Practice address
1775 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403-6549
(928) 453-0696
(928) 453-0816
Mailing address
1840 MESQUITE AVE, SUITE B, LAKE HAVASU CITY, AZ 86403-5771
(928) 453-8500
(928) 453-3660

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
24843
AZ

Other

Enumeration date
10/09/2007
Last updated
01/23/2008
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