Prescott Surgical Clinic PA

NPI #1659609238 in Prescott, Arizona

Provider Information

NPI Number: 1659609238
Entity Type: Organization
Organization Name: Prescott Surgical Clinic PA
Primary Specialty: Surgery
Enumeration Date: Nov 19, 2009
Last Updated: Nov 19, 2009

Practice Location

Address: 810 AINSWORTH DR
Address 2: SUITE A
City: Prescott
State: Arizona
ZIP Code: 86301-1612
Phone: (928) 445-9660

Authorized Official

Name: THOMAS RUSING
Title: PRESIDENT
Phone: (480) 985-1093

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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