Oasis Medical Group, LLC
Family Medicine in Lake Havasu City, AZ. Organization (NPI-2).
NPI number1114239019
StatusActive
Last updated in NPPESFeb 16, 2011
Details
- NPI
- 1114239019
- Entity type
- Organization (NPI-2)
- Legal business name
- Oasis Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Jul 8, 2010
- Last updated
- Feb 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
2035 Mesquite AveSuite C
Lake Havasu City, AZ 86403-5894
Phone 928-453-1101 · Fax 928-453-1171
Mailing address
P.O. Box 1185Lake Havasu City, AZ 86405-1185
Phone 928-453-1101 · Fax 928-453-1171
Authorized official
Nicole Mitchell
Owner
9284531101
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