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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