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1093832925
MOUNTAIN CREEK SURGICAL CONSULTANTS
SHOW LOW, AZ
NPI
1093832925
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Entity Type
Organization
Authorized Contact
JEFFERY BRANDON BUTTE
President
928-532-5463
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: AZ 4351)
Enumeration Date
2007-03-24
Last Update Date
2009-02-24
Business Address
MOUNTAIN CREEK SURGICAL CONSULTANTS
5171 CUB LAKE RD SUITE C390
SHOW LOW, AZ 85901-7888
Phone number: 928-532-5463
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Mailing Address
MOUNTAIN CREEK SURGICAL CONSULTANTS
5171 CUB LAKE RD STE C390
SHOW LOW, AZ 85901-7891
Phone number: 928-532-5463
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