Organization · NPI-2
Abdominal Surgeons,ltd
Surgery · Phoenix, AZ
NPI number1578734257
StatusActive
Last updated in NPPESOct 13, 2020
Details
- NPI
- 1578734257
- Entity type
- Organization (NPI-2)
- Legal business name
- Abdominal Surgeons,ltd
- Organization subpart
- No
- Enumeration date
- Mar 20, 2008
- Certification date
- Oct 13, 2020
- Last updated
- Oct 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 12148 | AZ | Yes |
Other names
- Adominal Surgeons,ltd (Doing Business As)
Practice location
1310 N 24th St Ste 100Phoenix, AZ 85008-4617
Phone 602-252-1510 · Fax 602-256-9488
Mailing address
10810 N Tatum Blvd Ste 102306Phoenix, AZ 85028-0503
Phone 602-252-1510
Authorized official
Hilario Juarez
President
6022521510
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