# VALLEY COLON AND RECTAL SURGICAL SPECIALISTS, PLLC

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

## Provider details

- **NPI number:** 1588924948
- **Authorized official:** DR. MARY ELIZABETH SCHULTHEIS M.D. (OWNER)
- **Authorized official phone:** (480) 257-2736

## Contact information

- **Practice address:** 4153 SOUTH POWER RD, SUITE 120, MESA, AZ 85212-3626
- **Practice address phone:** (480) 256-8128
- **Practice address fax:** (888) 430-0365
- **Mailing address:** PO BOX 3125, TEMPE, AZ 85280-3125
- **Mailing address phone:** (314) 432-2580
- **Mailing address fax:** (314) 432-0223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | P-1760941-5 | AZ | Yes |

## Other

- **Enumeration date:** 05/20/2012
- **Last updated:** 03/07/2013