KEVIN J OBRIEN DPM INC
Medical Practice at Mesquite Ave, Lake Havasu City, AZ

License number
Arizona 0541
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: KEVIN JOHN OBRIEN DPM
Title: OWNER
Phone: (928) 854-4307
Address
Address
1731 Mesquite Ave STE 4, Lake Havasu City, AZ 86403
National Provider ID: 1558550533
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KEVIN J. O'BRIEN, DPM, INC

Ste STE 4, Lake Havasu City, AZ 86403

Registration:
Dec 17, 2003
State ID:
-1108195-5
Expiration:
PERPETUAL
Directors:
Kevin J O Brien (President), Ste STE 4, Lake Havasu City, AZ 86403 (Physical),Kevin J O'brien (Director), Ste STE 4, Lake Havasu City, AZ 86403 (Physical)
Business type:
HEALTH CARE

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