Mountainside Surgical Associates

NPI #1457372393 in Cottonwood, Arizona

Provider Information

NPI Number: 1457372393
Entity Type: Organization
Organization Name: Mountainside Surgical Associates
Primary Specialty: Surgery
Enumeration Date: Jul 23, 2006
Last Updated: Nov 7, 2007

Practice Location

Address: 450 S WILLARD ST
Address 2: STE 107
City: Cottonwood
State: Arizona
ZIP Code: 86326-2564
Phone: (928) 639-0909

Authorized Official

Name: MARK DEMAR, M.D.
Title: MANAGING PARTNER
Phone: (928) 639-0909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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