SOUTHWEST SURGERY L.L.C. NPI 1760568224

NPI Information

SOUTHWEST SURGERY, L.L.C. is a specialist in Lake Havasu City, AZ. The provider is 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. SOUTHWEST SURGERY, L.L.C. NPI is 1760568224. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1810 MESQUITE AVE
SUITE B
LAKE HAVASU CITY, AZ
ZIP 86403-886
Phone: (928) 854-6500
Fax: (928) 854-6206

The provider's authorized official is Carrie L. Riesdorph .
The authorized official title is Office Manager and has the following contact phone number (928) 854-6500.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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