Provider Demographics
NPI:1538613096
Name:ARIZONA SURGERY CONSULTANTS
Entity type:Organization
Organization Name:ARIZONA SURGERY CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWLE
Authorized Official - Suffix:
Authorized Official - Credentials:MBHA
Authorized Official - Phone:904-956-0484
Mailing Address - Street 1:3104 E INDIAN SCHOOL RD STE 110
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-6873
Mailing Address - Country:US
Mailing Address - Phone:602-956-0484
Mailing Address - Fax:602-956-0501
Practice Address - Street 1:3104 E INDIAN SCHOOL RD STE 110
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-6873
Practice Address - Country:US
Practice Address - Phone:602-956-0484
Practice Address - Fax:602-956-0501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-12
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTC7296261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain