Verde Valley Orthopedics Pc

NPI 1184652562 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1184652562
Enumeration Date 06/28/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JACK WINFRED JACK
Position PHYSICIAN
Phone (928) 634-1112
Fax (928) 634-1117
Practice Location
450 S WILLARD ST
SUITE 101
COTTONWOOD AZ, 86326-6743, US
Phone (928) 634-1112
Fax (928) 634-1117
Business Location
450 S WILLARD ST
SUITE 101
COTTONWOOD AZ, 86326-6743, US
Phone (928) 634-1112
Fax (928) 634-1117
Toxanomy
Taxonomy Code 207X00000X
License State
License Number
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According to our database, Verde Valley Orthopedics Pc NPI is 1184652562, taxonomy code is 207X00000X Verde Valley Orthopedics Pc physically located at 450 S Willard St, Cottonwood AZ, 86326-6743. NPI Number 1033115704 has the healthcare provider type.

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1184652562 NPI number is provided on an as is basis without warranty of any kind. 1184652562 is maintained by the National Plan & Provider Enumeration System. The contents of Verde Valley Orthopedics Pc are for informational purposes only.