Organization
NAES SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MAHANTI MD (OWNER)
(928) 779-7000
Entity
Organization
Contact information
Practice address
900 N SAN FRANCISCO ST, FLAGSTAFF, AZ 86001-3236
(928) 779-7000
Mailing address
PO BOX 31012, FLAGSTAFF, AZ 86003-1012
(928) 779-7000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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