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Aspen Surgical, INC.

Specialist in Flagstaff, AZ. Organization (NPI-2).

NPI number1134328362
StatusActive
Last updated in NPPESJan 17, 2008

Details

NPI
1134328362
Entity type
Organization (NPI-2)
Legal business name
Aspen Surgical, INC.
Organization subpart
No
Enumeration date
Jul 17, 2007
Last updated
Jan 17, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

77 W Forest Ave
Suite 305
Flagstaff, AZ 86001-1479

Phone 480-229-8068

Mailing address

Po Box 10517
Scottsdale, AZ 85271-0517

Phone 480-229-8068

Authorized official

Jerry Dean Mohr
President
4802298068

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