Organization
MOHAVE INFECTIOUS DISEASE,PLLC
Active
Organization
MOHAVE INFECTIOUS DISEASE,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN E BUSSELL MD (PHYSICIAN/OWNER)
(928) 854-1242
Entity
Organization
Contact information
Practice address
1840 MESQUITE AVE, SUITE G, LAKE HAVASU CITY, AZ 86403-5771
(928) 854-1242
(928) 854-1243
Mailing address
1840 MESQUITE AVE, SUITE G, LAKE HAVASU CITY, AZ 86403-5771
(928) 854-1242
(928) 854-1243
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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