Organization
WHITE MOUNTAIN SURGICAL SPECIALISTS PC
Active
Parent organization
WHITE MTN SURGICAL SPECIALISTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITE MTN SURGICAL SPECIALISTS
Authorized official
DR. RONNIE K DOWLING M.D. (PHYSICIAN)
(928) 537-4240
Entity
Organization
Contact information
Practice address
2650 E SHOW LOW LAKE RD, SUITE 2, SHOW LOW, AZ 85901-7955
(928) 537-4240
Mailing address
2650 E SHOW LOW LAKE RD, SUITE 2, SHOW LOW, AZ 85901-7955
(928) 537-4240
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
AZ13617
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16090179
ST COMP FUND AZ
AZ
05
—
214502
—
AZ
05
—
214502001
—
AZ
01
—
AZ0180910
BCBS AZ
AZ
Enumeration date
01/08/2007
Last updated
04/19/2012
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