Organization
BLUE WATER INTERNAL MEDICINE ASSOCIATES PC
Active
Organization
BLUE WATER INTERNAL MEDICINE ASSOCIATES PC
Active
Other names
Arizona Osteoporosis Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY BLACKWELL (OFFICE MANAGER)
(928) 453-8100
Entity
Organization
Contact information
Practice address
1987 MCCULLOCH BLVD N, SUITE 101, LAKE HAVASU CITY, AZ 86403-5682
(928) 453-6963
(928) 453-7006
Mailing address
PO BOX 2760, LAKE HAVASU CITY, AZ 86405
(928) 453-8100
(928) 453-8158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/07/2006
Last updated
10/10/2007
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