Blue Water Internal Medicine Associates P C

Organization Active NPI Bone Densitometry Radiologic Technologist · Fort Mohave, AZ

NPI 1801124656 · NPPES record last updated Jun 18, 2010

Key facts

NPI
1801124656
Entity type
Organization (NPI type 2)
Primary specialty
Bone Densitometry Radiologic Technologist 2471B0102X
License
25652 (AZ)
Legal business name
BLUE WATER INTERNAL MEDICINE ASSOCIATES P C
Practice address
5263 S Highway 95
Suite 101
Fort Mohave, AZ 86426-9223
Phone
(928) 453-8100
NPI assigned
Dec 4, 2009
Organization subpart
Yes
Parent organization (as reported)
BLUE WATER INTERNAL MEDICINE

Authorized official

Name
Dr. Brian N Sabowitz, M.D.
Title
Doctor
Phone
(928) 453-6963

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Part of
Blue Water Intnl Med Assoc

Locations

5263 S Highway 95
Ste 101
Fort Mohave, AZ 86426
Phone (702) 562-3590

5287 Highway 95
Ste L
Fort Mohave, AZ 86426
Phone (428) 453-8100

1948 Mesquite Ave
Ste 101
Lk Havasu Cty, AZ 86403
Phone (928) 854-4776

2176 McCulloch Blvd N
Ste 1
Lk Havasu Cty, AZ 86403
Phone (928) 453-8100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Bone Densitometry Radiologic Technologist
Group: 193200000X MULTI-SPECIALTY GROUP
2471B0102X 25652 AZ Yes

Addresses

Primary practice location

5263 S Highway 95
Suite 101
Fort Mohave, AZ 86426-9223

Mailing address

PO Box 2760
Lake Havasu City, AZ 86405-2760
Phone (928) 453-6963

Other providers in Fort Mohave, AZ

All providers in Fort Mohave, AZ · Bone Densitometry Radiologic Technologist in Arizona

Sources for this page

Verify at the official NPI Registry.