Organization
BLUE WATER INTERNAL MEDICINE ASSOCIATES P C
Active
Parent organization
BLUE WATER INTERNAL MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUE WATER INTERNAL MEDICINE
Authorized official
DR. BRIAN N SABOWITZ M.D. (DOCTOR)
(928) 453-6963
Entity
Organization
Contact information
Practice address
5263 S HIGHWAY 95, SUITE 101, FORT MOHAVE, AZ 86426-9223
(928) 453-8100
Mailing address
PO BOX 2760, LAKE HAVASU CITY, AZ 86405-2760
(928) 453-6963
Taxonomy
Speciality
Code
Description
License number
State
2471B0102X
Bone Densitometry Radiologic Technologist
Primary
25652
AZ
Other
Enumeration date
12/04/2009
Last updated
06/18/2010
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