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

Southwest Ear, Nose, & Throat Specialists

Organization Otolaryngology Physician · NPI 1093348096

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

In the registry since
2020

Practice location Address checks out

1760 McCulloch Blvd N Ste 100
Lake Havasu City, AZ 86403-6559
Phone: (928) 854-5368
Fax: (928) 854-4462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1093348096
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adrienne Prater — Manager · (928) 486-3934
NPI enumeratedFebruary 18, 2020
Last updated in NPPESFebruary 18, 2020
Certification dateFebruary 18, 2020
Mailing address2331 Hogan Ln, Lake Havasu City, AZ 86406-8242

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