Organization
PRESCOTT SURGICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS RUSING (PRESIDENT)
(480) 985-1093
Entity
Organization
Contact information
Practice address
810 AINSWORTH DR, SUITE A, PRESCOTT, AZ 86301-1612
(928) 445-9660
Mailing address
PO BOX 20490, MESA, AZ 85277-0490
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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