Individual
MS. RIVI ROSE SACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W THOMAS RD STE 800, PHOENIX, AZ 85013-4217
(602) 406-1234
(602) 406-6368
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8136
AZ
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
8136
AZ
Other
Enumeration date
07/07/2020
Last updated
08/24/2023
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