Organization
ASPEN SURGICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY DEAN MOHR M.D. (PRESIDENT)
(480) 229-8068
Entity
Organization
Contact information
Practice address
77 W FOREST AVE, SUITE 305, FLAGSTAFF, AZ 86001-1479
(480) 229-8068
Mailing address
PO BOX 10517, SCOTTSDALE, AZ 85271-0517
(480) 229-8068
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/17/2007
Last updated
01/17/2008
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