Peter Walmy St Louis Angervil
Peter Walmy St Louis Angervil is a Physician Assistant in Lake Havasu City, Arizona. Qualified in 2010, 16 years ago. Practices with San Luis Walk-In Clinic Inc, a 51-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, Florida and Puerto Rico.
- Years since qualifying
- 16
- Licensed in
- AZ, FL, PR
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
1940 Mesquite AveLake Havasu City, AZ 86403-6123
Phone: (928) 459-3512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1980 Mesquite Ave Unit 102103, Lake Havasu City, AZ 86403-7713 — (928) 392-3691
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 9800 (AZ) |
|---|---|
| Behavior Technician | Taxonomy 106S00000X · Licence RBT-23-253666 (FL) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 1238 (PR) |
Record details
| NPI number | 1598414096 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 22, 2022 |
| Last updated in NPPES | August 13, 2024 |
| Certification date | August 13, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2010 (16 years in practice) |
| Group practice | San Luis Walk-In Clinic Inc — 51 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Lake Havasu City
-
Rebecca L. Clark
1900 Pima Dr N, Lake Havasu City, AZ 86403-5718 · (928) 208-9121