Steven D Washburn PC
Specialist in Lakeside, AZ. Organization (NPI-2).
NPI number1700979366
StatusActive
Last updated in NPPESJul 6, 2010
Details
- NPI
- 1700979366
- Entity type
- Organization (NPI-2)
- Legal business name
- Steven D Washburn PC
- Organization subpart
- No
- Enumeration date
- Oct 2, 2006
- Last updated
- Jul 6, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 25791 | AZ | Yes |
Other names
- Arizona Mountain Orthopedics (Other Name)
Practice location
4830 Highway 260Ste 103
Lakeside, AZ 85929-5845
Phone 928-537-8777 · Fax 928-537-1914
Mailing address
4830 Highway 260Ste 103
Lakeside, AZ 85929-5845
Phone 928-537-8777 · Fax 928-537-1914
Authorized official
Steven D Washburn
Owner
9285378777
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