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

Southwest Ear, Nose & Throat, PLLC

Organization Otolaryngology Physician · NPI 1861020703

Southwest Ear, Nose & Throat, PLLC is an Otolaryngology Physician in Lake Havasu City, Arizona. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1760 McCulloch Blvd N Ste 102
Lake Havasu City, AZ 86403-6559
Phone: (928) 453-0303
Fax: (928) 453-0338
Show map & directions

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

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1861020703
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Prater — Owner / Member Manager · (928) 453-0303
NPI enumeratedMarch 27, 2020
Last updated in NPPESMarch 27, 2020
Certification dateMarch 27, 2020
Mailing address1760 McCulloch Blvd N Ste 102, Lake Havasu City, AZ 86403-6559

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