LAKE HAVASU OB/GYN, PC is a medical specialty clinic center in Lake Havasu City, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). LAKE HAVASU OB/GYN, PC NPI is 1598944811. The provider is registered as an organization entity type.
The provider's business location address is:
99 RIVIERA DR
LAKE HAVASU CITY, AZ
ZIP 86403-713
Phone: (928) 680-2846
Fax: (928) 680-2845
The provider's authorized official is Mary Jo Vita Urso .
The authorized official title is Owner and has the following contact phone number (928) 680-2846.
The enumeration date for this NPI number is 11/2/2007 and was last updated on 2/29/2012.