Organization
WESTERN SURGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL RAE CODDINGTON CFA (SOLE MEMBER)
(602) 708-2493
Entity
Organization
Contact information
Practice address
7672 E DAVENPORT DR, SCOTTSDALE, AZ 85260-4020
(602) 708-2493
(480) 699-6264
Mailing address
PO BOX 12144, SCOTTSDALE, AZ 85267-2144
(602) 708-2493
(480) 699-6264
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
1597297
AZ
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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