Organization
SURGERY SPECIALISTS AT THE RIVER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD D WEISSENBERG D.O. (GENERAL SURGEON)
(928) 542-4727
Entity
Organization
Contact information
Practice address
5287 S HIGHWAY 95 STE D, FORT MOHAVE, AZ 86426-9220
(928) 542-4727
(866) 504-1133
Mailing address
5287 S HIGHWAY 95 STE D, FORT MOHAVE, AZ 86426-9220
(928) 542-4727
(866) 504-1133
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4512
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
491439
—
AZ
Enumeration date
02/08/2007
Last updated
06/13/2012
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