Organization · NPI-2
Blue Water Internal Medicine Associates P C
Radiologic Technologist, Bone Densitometry · Fort Mohave, AZ
NPI number1801124656
StatusActive
Last updated in NPPESJun 18, 2010
Details
- NPI
- 1801124656
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Water Internal Medicine Associates P C
- Organization subpart
- Yes
- Enumeration date
- Dec 4, 2009
- Last updated
- Jun 18, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471B0102X | Radiologic Technologist, Bone Densitometry | 25652 | AZ | Yes |
Practice location
5263 S Highway 95Suite 101
Fort Mohave, AZ 86426-9223
Phone 928-453-8100
Mailing address
Po Box 2760Lake Havasu City, AZ 86405-2760
Phone 928-453-6963
Authorized official
Brian N Sabowitz
Doctor
9284536963
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