Organization
MEDICAL AND SURGICAL HEALTH AND HEALING INSTITUTE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VONNEE RAE WILSON (OFFICE MANAGER)
(623) 975-2500
Entity
Organization
Contact information
Practice address
15515 N REEMS RD, SUITE 107, SURPRISE, AZ 85374-9549
(623) 975-2500
(623) 975-1900
Mailing address
15515 N REEMS RD, SUITE 107, SURPRISE, AZ 85374-9549
(623) 975-2500
(623) 975-1900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
535447
—
AZ
Enumeration date
05/07/2010
Last updated
11/08/2010
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