Organization
C.A.P. SURGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL J PETERS (PRESIDENT)
(480) 759-0195
Entity
Organization
Contact information
Practice address
3817 E WINDSONG DR, PHOENIX, AZ 85048-7916
(480) 759-0195
(480) 759-2015
Mailing address
3817 E WINDSONG DR, PHOENIX, AZ 85048-7916
(480) 759-0195
(480) 759-2015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP2892
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349440
—
AZ
Enumeration date
02/11/2008
Last updated
02/11/2008
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