Organization
COTTONWOOD DAY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J BROWNSBERGER M.D (OWNER)
(928) 458-7343
Entity
Organization
Contact information
Practice address
55 S 6TH ST, COTTONWOOD, AZ 86326-4237
(928) 634-5118
(928) 634-8522
Mailing address
1042 WILLOW CREEK RD STE A101, PRESCOTT, AZ 86301-1672
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
03C0001308
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490002552
RAILROAD MEDICARE
AZ
01
—
AZ0203740
BCBS
AZ
05
—
POF250015005
—
AZ
Enumeration date
08/13/2006
Last updated
12/16/2022
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