Organization
SURGICAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL KULLUKIAN M.D. (MANAGER)
(602) 295-8370
Entity
Organization
Contact information
Practice address
4626 E SHEENA DR, PHOENIX, AZ 85032-5524
(602) 295-8370
Mailing address
4626 E SHEENA DR, PHOENIX, AZ 85032-5524
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
861438620
—
AZ
Enumeration date
05/05/2017
Last updated
05/05/2017
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