Healthcare Provider Details

I. General information

NPI: 1053371153
Provider Name (Legal Business Name): WARREN C RIZZO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 04/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10210 N 92ND ST SUITE 105
SCOTTSDALE AZ
85258-4509
US

IV. Provider business mailing address

10210 N 92ND ST SUITE 104
SCOTTSDALE AZ
85258
US

V. Phone/Fax

Practice location:
  • Phone: 480-451-3222
  • Fax: 480-451-3224
Mailing address:
  • Phone: 480-451-3222
  • Fax: 480-451-3222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number28981
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: