Organization
NORTHERN ARIZONA GENERAL SURGICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY GLEN COURSON M.D. (PRESIDENT)
(928) 303-9593
Entity
Organization
Contact information
Practice address
3880 STOCKTON HILL RD, #103-128, KINGMAN, AZ 86409-0595
(928) 303-9593
Mailing address
3880 STOCKTON HILL RD, #103-128, KINGMAN, AZ 86409-0595
(928) 303-9593
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30616
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
726044
—
AZ
Enumeration date
12/01/2006
Last updated
06/13/2008
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