Organization
RIO VISTA SURGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABEDON ABE SAIZ JR. MD (MD/OWNER)
(928) 453-2900
Entity
Organization
Contact information
Practice address
90 RIVIERA DR, LAKE HAVASU CITY, AZ 86403-5716
(928) 453-2900
(877) 864-6566
Mailing address
90 RIVIERA DR, LAKE HAVASU CITY, AZ 86403-5716
(928) 453-2900
(877) 864-6566
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24387
AZ
2086S0129X
Vascular Surgery Physician
24387
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423878
—
AZ
Enumeration date
10/27/2005
Last updated
04/13/2017
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