Organization
SOUTHWESTERN MEDICAL CENTERS INC - AZ
Active
Other names
Thumb Butte Outpatient Rehab Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WESLEY HUDSON (V.P. OF OPERATIONS)
(210) 828-5686
Entity
Organization
Contact information
Practice address
864 DOUGHERTY ST, PRESCOTT, AZ 86305-1841
(928) 778-9666
Mailing address
1020 NE LOOP 410, SUITE 640, SAN ANTONIO, TX 78209-1204
(210) 828-5686
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
OTC 4666
AZ
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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