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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