Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LAKE HAVASU OB/GYN, PC
Active
Organization
LAKE HAVASU OB/GYN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY JO VITA URSO D.O. (OWNER)
(928) 680-2846
Entity
Organization
Contact information
Practice address
99 RIVIERA DR, LAKE HAVASU CITY, AZ 86403-5713
(928) 680-2846
(928) 680-2845
Mailing address
99 RIVIERA DR, LAKE HAVASU CITY, AZ 86403-5713
(928) 680-2846
(928) 680-2845
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
20A8265
CA
261QM2500X
Medical Specialty Clinic/Center
Primary
3696
AZ
Other
Enumeration date
11/02/2007
Last updated
02/29/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers