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

Smith Tryon Family Health Inc D.b.a. Blue Water Medical

Organization Family Medicine Physician · NPI 1336104462

Smith Tryon Family Health Inc D.b.a. Blue Water Medical is a Family Medicine Physician in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1801 Mesquite Ave
Lake Havasu City, AZ 86403-5664
Phone: (928) 453-6963
Fax: (928) 453-7015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35026 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35026 (AZ)
General Practice Physician Taxonomy 208D00000X · Licence 2768 (AZ)

Record details

NPI number1336104462
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Smith Tryon — President · (928) 453-6963
NPI enumeratedApril 20, 2006
Last updated in NPPESSeptember 27, 2010
Mailing address1990 McCulloch Blvd N, Suite D, Box 379d, Lake Havasu City, AZ 86403-5749

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