Individual
RIVA ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MMS
Contact information
Practice address
9305 W THOMAS RD STE 360, PHOENIX, AZ 85037-3367
(623) 327-8200
(623) 327-8201
Mailing address
9305 W THOMAS RD STE 360, PHOENIX, AZ 85037-3367
(623) 327-8200
(623) 327-8201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6842
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6842
ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS
AZ
Enumeration date
08/08/2017
Last updated
07/07/2023
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