Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southwest Surgery, LLC

Organization Specialist · NPI 1760568224

Southwest Surgery, LLC provides Specialist services in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1810 Mesquite Ave Ste B
Lake Havasu City, AZ 86403-5886
Phone: (928) 854-6500
Fax: (928) 854-6206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 31136 (AZ)

Record details

NPI number1760568224
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carrie Riesdorph — Office Manager · (928) 854-6500
NPI enumeratedOctober 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1810 Mesquite Ave, Suite B, Lake Havasu City, AZ 86403-5886

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