Mountain Creek Surgical Consultants

NPI #1093832925 in Show Low, Arizona

Provider Information

NPI Number: 1093832925
Entity Type: Organization
Organization Name: Mountain Creek Surgical Consultants
Primary Specialty: Surgery
Enumeration Date: Mar 24, 2007
Last Updated: Feb 24, 2009

Practice Location

Address: 5171 CUB LAKE RD
Address 2: SUITE C390
City: Show Low
State: Arizona
ZIP Code: 85901-7888
Phone: (928) 532-5463

Authorized Official

Name: JEFFERY BRANDON BUTTE, D.O.
Title: PRESIDENT
Phone: (928) 532-5463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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