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Organization
EMERGENCY SURGICAL PC
Active
Organization
EMERGENCY SURGICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW JAMES (PATIENT ACCOUNTS)
(631) 827-8159
Entity
Organization
Contact information
Practice address
4143 E PASADENA AVE, PHOENIX, AZ 85018-1618
(631) 827-8159
Mailing address
4143 E PASADENA AVE, PHOENIX, AZ 85018-1618
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
NULL
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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