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Organization

ANNUAL WELLNESS CENTERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD BYRD (OWNER)
(928) 412-5005
Entity
Organization

Contact information

Practice address
116 LAKE HAVASU AVE S STE 103, LAKE HAVASU CITY, AZ 86403-0811
(928) 733-3311
Mailing address
116 LAKE HAVASU AVE S STE 103, LAKE HAVASU CITY, AZ 86403-0811
(928) 733-3311

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary

Other

Enumeration date
02/06/2015
Last updated
02/06/2015
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