Havasu Surgical Specialists, Pc in Lake Havasu City - Specialist
Havasu Surgical Specialists, Pc - NPI 1063629087
Havasu Surgical Specialists, Pc is a Specialist in Lake Havasu City, Arizona. Havasu Surgical Specialists, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Havasu Surgical Specialists, Pc is 1063629087. The last update date is 2020-08-22.
Havasu Surgical Specialists, Pc's current location address is 1972 Mesquite Ave, Lake Havasu City, Arizona. You can contact this provider via phone number 9288546508 and fax number 9288546206. The mailing address for Havasu Surgical Specialists, Pc is 1972 Mesquite Ave, Lake Havasu City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Havasu Surgical Specialists, Pc |
|---|---|
| Address | 1972 Mesquite Ave, Lake Havasu City, Arizona |
| Phone Number | 9288546508 |
| Fax Number | 9288546206 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Riesdorph L Carrie |
| Telephone Number | 9288546508 |
NPI Number Detail
| NPI Number | 1063629087 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1972 Mesquite Ave |
|---|---|
| City | Lake Havasu City |
| State | Arizona (AZ) |
| Post Code | 864035729 |
| Phone Number | 9288546508 |
| Fax Number | 9288546206 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 31136 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 753261 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Havasu Surgical Specialists, Pc by the Centers for Medicare & Medicaid Services?
The Havasu Surgical Specialists, Pc has been assigned the NPI (National Provider Identifier) 1063629087 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Havasu Surgical Specialists, Pc's facilities are situated?
The facilities of Havasu Surgical Specialists, Pc are physically located at the following address: 1972 Mesquite Ave, Lake Havasu City, AZ, 864035729.
What is Havasu Surgical Specialists, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Havasu Surgical Specialists, Pc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When did Havasu Surgical Specialists, Pc receive its 1063629087 assignment?
The Havasu Surgical Specialists, Pc was assigned its 1063629087 on 2007-05-17, which is the date when this unique identifier was issued to the organization.
As of what date were the Havasu Surgical Specialists, Pc's details last updated?
The information pertaining to the Havasu Surgical Specialists, Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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