Independent Medical and Surgical

NPI #1134673254 in Cottonwood, Arizona

Provider Information

NPI Number: 1134673254
Entity Type: Organization
Organization Name: Independent Medical and Surgical
Primary Specialty: Anesthesiologist Assistant
Enumeration Date: Aug 5, 2016
Last Updated: Oct 20, 2016

Practice Location

Address: 401 S CALVARY WAY
Address 2: SUITE D
City: Cottonwood
State: Arizona
ZIP Code: 86326-4165
Phone: (928) 649-2600

Authorized Official

Name: KELLEY MCCONNELL
Title: BUSINESS ADMINISTRATOR
Phone: (928) 649-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiologist Assistant	367H00000X	Primary

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