is a Surgical in Phoenix, Arizona. practices all healthcare services and medical treatments related to Surgical. The NPI Number for is 1215087127. The last update date is .
's current location address is 4212 N 16th St, Phoenix, Arizona. You can contact this provider via phone number 6022631200 and fax number 5022005387. The mailing address for is 4212 N 16th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 4212 N 16th St, Phoenix, Arizona |
| Phone Number | 6022631200 |
| Fax Number | 5022005387 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1215087127 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 4212 N 16th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850165319 |
| Phone Number | 6022631200 |
| Fax Number | 5022005387 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 3463 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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