Whalio Doctors

NPI 1467225789

Prima Medical Care LLC

Organisation General Practice Physician Lake Havasu City, AZ

Practice location

Address
99 Riviera Dr, Lake Havasu City, AZ 86403-5713
Phone
(928) 302-3798

Authorised official

Name
Katie Jean Colonna
Title
Owner
Phone
(928) 302-3798

Registered specialties (2)

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X
Family Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X

Registry record

NPI
1467225789
Entity type
Organization
NPI issued
30 Oct 2023
Record last updated
3 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.