Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

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 provides Family Medicine Physician services 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 Not confirmed with CMS for 16 years — call before visiting
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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