# WHITE MOUNTAIN SURGICAL SPECIALISTS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164487922
- **Authorized official:** DR. WILLIAM J. WALDO M.D. (ADMINISTRATOR)
- **Authorized official phone:** (928) 537-4240

## Contact information

- **Practice address:** 2650 E SHOW LOW LAKE RD, SUITE 2, SHOW LOW, AZ 85901-7955
- **Practice address phone:** (928) 537-4240
- **Practice address fax:** (928) 537-4541
- **Mailing address:** 2650 E SHOW LOW LAKE RD, SUITE 2, SHOW LOW, AZ 85901-7955
- **Mailing address phone:** (928) 537-4240
- **Mailing address fax:** (928) 537-4541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | OSC0061 | AZ | Yes |

## Other

- **Enumeration date:** 04/17/2006
- **Last updated:** 04/19/2012