Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Panacea Brain and Spine, LLC

Organization Neurological Surgery Physician · NPI 1457622763

Panacea Brain and Spine, LLC is a Neurological Surgery Physician in Lake Havasu City, Arizona. Works from 3 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

72 Lake Havasu Ave S Ste 102
Lake Havasu City, AZ 86403-0857
Phone: (928) 453-2211
Fax: (928) 453-2213
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 13677 W McDowell Rd, Goodyear, AZ 85395-2635 — (928) 453-2211
  • 1200 W Mohave Rd, Parker, AZ 85344-6349 — (928) 453-2211

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 46605 (AZ)

Record details

NPI number1457622763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Hartley — Owner · (720) 883-1593
NPI enumeratedJanuary 18, 2012
Last updated in NPPESJune 29, 2020
Certification dateJune 29, 2020
Mailing address72 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403-0857

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