Individual
DR. ALBERT NICHOLAS RIZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1972 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403-5729
(928) 854-6500
(928) 854-6206
Mailing address
PO BOX 785, LAKE HAVASU CITY, AZ 86405-0785
(928) 854-6500
(928) 854-6206
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31420
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
768484
—
AZ
01
—
AZ0747730
BC/BS ID NUMBER
AZ
01
—
P00010233
RAILROAD MEDICARE NUMBER
AZ
Enumeration date
07/07/2005
Last updated
05/16/2024
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