Organization
MIDWEST INTERNAL MEDICINE PLLC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA A ONG-VELOSO (ADMINISTRATOR)
(928) 453-9593
Entity
Organization
Contact information
Practice address
1840 MESQUITE AVE STE B, LAKE HAVASU CITY, AZ 86403-5771
(928) 453-8500
(928) 453-3660
Mailing address
1840 MESQUITE AVE STE B, LAKE HAVASU CITY, AZ 86403-5771
(928) 453-8500
(928) 453-3660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
02/13/2007
Last updated
03/07/2025
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