White Mountain Surgical Specialists Pc

LBN: White Mountain Surgical Specialists Pc
White Mountain Surgical Specialists Pc is an health care organization with primary practice located at 2650 E Show Low Lake Rd Suite 2, Show Low AZ 85901-7955. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. White Mountain Surgical Specialists Pc can be contacted via phone (928) 537-4240, or through Dowling, Ronnie K via phone (928) 537-4240.

Contact Information

Primary practice address
2650 E Show Low Lake Rd Suite 2 Show Low AZ 85901-7955
Fax:
Website:
Authorized official contact:
Name: Dowling, Ronnie K Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X AZ13617 Arizona

Profile Details

NPI number 1124177571
LBN Legal business name White Mountain Surgical Specialists Pc
DBA Doing business as
Authorized official Dowling, Ronnie K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 8th, 2007
Last updated Apr 19th, 2012 - about 14 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 1124177571 NPPES
Arizona Other AZ0180910 BCBS AZ
Arizona Other 16090179 BCBS AZ
Arizona MEDICAID 214502 BCBS AZ
Arizona MEDICAID 214502001 BCBS AZ

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