Payson Hospital Corporation

NPI #1972792588 in Payson, Arizona

Provider Information

NPI Number: 1972792588
Entity Type: Organization
Organization Name: Payson Hospital Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: PAYSON HOSPITAL CORPORATION
Primary Specialty: Anesthesiology
Enumeration Date: Oct 19, 2007
Last Updated: Oct 23, 2007

Practice Location

Address: 807 S PONDEROSA ST
City: Payson
State: Arizona
ZIP Code: 85541-5542
Phone: (928) 474-3222

Authorized Official

Name: DEBBIE T BREWER
Title: DIRECTOR OF PROVIDER ENROLLMENT
Phone: (877) 892-9813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Emergency Medicine	207P00000X
Anesthesiology	207L00000X	Primary

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