Prescott Outpatient Surgical Center

NPI 1083624670 - Clinic/Center - 261QA1903X

NPI Details
NPI 1083624670
Enumeration Date 08/08/2006
Last Updated 12/03/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DERRON RONALD DERRON
Position CEO
Phone (928) 778-9770
Fax (928) 778-9028
Practice Location
815 AINSWORTH DR
PRESCOTT AZ, 86301-1631, US
Phone (928) 778-9770
Fax (928) 778-9028
Business Location
815 AINSWORTH DR
PRESCOTT AZ, 86301-1631, US
Phone (928) 778-9770
Fax (928) 778-9028
Toxanomy
Taxonomy Code 261QA1903X
License State Arizona
License Number OSC0035
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According to our database, Prescott Outpatient Surgical Center NPI is 1083624670, taxonomy code is 261QA1903X and license number is OSC0035, license state is located at Arizona. Prescott Outpatient Surgical Center physically located at 815 Ainsworth Dr, Prescott AZ, 86301-1631. NPI Number 1033115704 has the healthcare provider type.

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1083624670 NPI number is provided on an as is basis without warranty of any kind. 1083624670 is maintained by the National Plan & Provider Enumeration System. The contents of Prescott Outpatient Surgical Center are for informational purposes only.