White Mountain Surgical Specialist

NPI 1578979118 - Exclusive Provider Organization - 302F00000X

NPI Details
NPI 1578979118
Enumeration Date 07/03/2014
Last Updated 07/03/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ADRIANNE M ADRIANNE
Position MANAGER
Phone (928) 537-4240
Fax (928) 537-4541
Practice Location
2650 E SHOW LOW LAKE RD STE 2
SHOW LOW AZ, 85901-7955, US
Phone (928) 537-4240
Fax (928) 537-4541
Business Location
2650 E SHOW LOW LAKE RD STE 2
SHOW LOW AZ, 85901-7955, US
Phone (928) 537-4240
Fax (928) 537-4541
Toxanomy
Taxonomy Code 302F00000X
License State
License Number
Remove 1578979118 NPI Number
 

According to our database, White Mountain Surgical Specialist NPI is 1578979118, taxonomy code is 302F00000X White Mountain Surgical Specialist physically located at 2650 E Show Low Lake Rd Ste 2, Show Low AZ, 85901-7955. NPI Number 1033115704 has the healthcare provider type.

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1578979118 NPI number is provided on an as is basis without warranty of any kind. 1578979118 is maintained by the National Plan & Provider Enumeration System. The contents of White Mountain Surgical Specialist are for informational purposes only.