Organization
WHITE MOUNTAIN SURGICAL SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANNE M PEREZ (MANAGER)
(928) 537-4240
Entity
Organization
Contact information
Practice address
2650 E SHOW LOW LAKE RD STE 2, SHOW LOW, AZ 85901-7955
(928) 537-4240
(928) 537-4541
Mailing address
2650 E SHOW LOW LAKE RD STE 2, SHOW LOW, AZ 85901-7955
(928) 537-4240
(928) 537-4541
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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