Organization
SOUTHWEST SURGERY OF YAVAPAI COUNTY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN P SCHILPEROORT M.D. (OWNER/MANAGER)
(928) 445-3055
Entity
Organization
Contact information
Practice address
2001 EXCELLENCE WAY, SUITE 200, PRESCOTT, AZ 86301-8410
(928) 445-3055
(928) 445-4732
Mailing address
2001 EXCELLENCE WAY, SUITE 200, PRESCOTT, AZ 86301-8410
(928) 445-3055
(928) 445-4732
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25877
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0893130
BLUE CROSS BLUE SHIELD
AZ
01
—
2015283
CIGNA
AZ
05
—
401612
—
AZ
Enumeration date
08/31/2006
Last updated
04/14/2011
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