Organization
SOUTHWEST SURGICAL INSTITUTE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON RICHARDSON (DR.)
(480) 829-6100
Entity
Organization
Contact information
Practice address
1855 E SOUTHERN AVE, TEMPE, AZ 85282-5894
(480) 829-6100
Mailing address
1855 E SOUTHERN AVE, TEMPE, AZ 85282-5894
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
46221
AZ
Other
Enumeration date
08/12/2014
Last updated
07/01/2015
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