Organization
MESQUITE MEDICAL ASSOCIATES,LTD
Active
Organization
MESQUITE MEDICAL ASSOCIATES,LTD
Active
Other names
Mesquite Medical Associates, Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER K. SOSEY M.D. (PHYSICIAN/OWNER)
(928) 855-8071
Entity
Organization
Contact information
Practice address
1830 MESQUITE AVE, STE. A, LAKE HAVASU CITY, AZ 86403-5885
(928) 855-8071
(928) 855-6869
Mailing address
1830 MESQUITE AVE, STE. A, LAKE HAVASU CITY, AZ 86403-5885
(928) 855-8071
(928) 855-6869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7826
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0010610
BCBS
—
Enumeration date
07/22/2005
Last updated
11/13/2007
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