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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