Mountain Creek Surgical Consultants

LBN: Mountain Creek Surgical Consultants
Mountain Creek Surgical Consultants is an health care organization with primary practice located at 5171 Cub Lake Rd Suite C390, Show Low AZ 85901-7888. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Mountain Creek Surgical Consultants can be contacted via phone (928) 532-5463, or through Butte, Jeffery Brandon via phone (928) 532-5463.

Contact Information

Primary practice address
5171 Cub Lake Rd Suite C390 Show Low AZ 85901-7888
Phone: (928) 532-5463
Fax: (928) 532-8474
Website:
Map and Directions
Authorized official contact:
Name: Butte, Jeffery Brandon Doctor of Osteopathy (DO)
Phone: (928) 532-5463

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4351 Arizona

Profile Details

NPI number 1093832925
LBN Legal business name Mountain Creek Surgical Consultants
DBA Doing business as
Authorized official Butte, Jeffery Brandon Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2007
Last updated Feb 24th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093832925 NPPES
Arizona MEDICAID 072852
Arizona Other AZ0427710

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