Organization
LAKE HAVASU RADIOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI CLOUD (BILLING MANAGER)
(337) 721-1961
Entity
Organization
Contact information
Practice address
1200 W MOHAVE RD, PARKER, AZ 85344-6349
(337) 721-1961
Mailing address
PO BOX 1766, LAKE CHARLES, LA 70602-1766
(337) 721-1961
(337) 721-1939
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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