Organization
TIZON EMERGENCY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P. WARD D.O. (PHYSICIAN/OWNER)
(928) 486-4290
Entity
Organization
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 855-8185
(928) 453-0653
Mailing address
PO BOX 661454, ARCADIA, CA 91066-1454
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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