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NPI Profile for LAKE HAVASU IMAGING CENTER INC in LAKE HAVASU CITY, AZ.
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Vascular & Interventional Radiology |
2085R0204X | 94 | Physician/Interventional Radiology |
| NPI Number | 1710919261 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/07/2006 | |
| Last updated | 12/10/2019 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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LAKE HAVASU IMAGING CENTER INC
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LAKE HAVASU IMAGING CENTER INC