Southwestern Medical Centers Az

NPI #1477635415 in Prescott, Arizona

Provider Information

NPI Number
1477635415
Entity Type
Organization
Organization Name
Southwestern Medical Centers Az
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 19, 2006
Last Updated
Jul 26, 2007

Practice Location

Address
864 DOUGHERTY ST
State
Arizona
ZIP Code
86305-1841
Phone
(928) 778-9667

Authorized Official

Name
STAN STUDER JR.
Title
PRESIDENT
Phone
(210) 828-5686

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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