RONALD B KILLIAN DPM LLC
Podiatry at Mesquite Ave, Lake Havasu City, AZ

License number
Arizona 0554
Category
Podiatry
Type
Podiatrist
Owner
Name: DR. RONALD B. KILLIAN DPM
Title: OWNER
Phone: (928) 854-4307
Address
Address
1731 Mesquite Ave SUITE 4, Lake Havasu City, AZ 86403
National Provider ID: 1821275355
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RONALD B KILLIAN DPM LLC

Lake Havasu City, AZ

Industry:
Podiatrist's Office
Registration:
Jan 29, 2008
Addresses:
25 Riviera Blvd, Lake Havasu City, AZ 86403 (Physical)
PO Box 604, Lake Havasu City, AZ 86405
1731 Mesquite Ave, Lake Havasu City, AZ 86403
State ID:
L-1425248-6
Expiration:
PERPETUAL
Member, Owner, Principal:
Ronald B Killian (Member, Owner, Principal), 25 Riviera Blvd, Lake Havasu City, AZ 86403 (Physical)

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