Organization
HAVASU WOMEN'S HEALTH CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICK RIZOS MD (PRESIDENT)
(928) 855-8176
Entity
Organization
Contact information
Practice address
1840 MESQUITE AVE STE H, LAKE HAVASU CITY, AZ 86403-5771
(928) 855-8176
(928) 855-1995
Mailing address
1840 MESQUITE AVE STE H, LAKE HAVASU CITY, AZ 86403-5771
(928) 855-8176
(928) 855-1995
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14298
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059940
BCBS AZ
AZ
05
—
234154
—
AZ
Enumeration date
02/21/2007
Last updated
03/21/2012
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