Organization · Type 2 NPI

Yavapai Community Hospital Association

Surgery Physician · Prescott, AZ

NPI number 1649464454 Active

Practice location

804 Ainsworth Drive Ste. 103
Prescott, AZ 86301-1624

Call (928) 445-2700 Map

Fax (928) 771-5785

Mailing address

1003 Willow Creek Road
Prescott, AZ 86301-1641

Specialties and licenses

Taxonomy	Code	License
Surgery Physician	208600000X	H3964 (AZ)
Surgery Physician Primary	208600000X	H0115 (AZ)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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NPI record

NPI: 1649464454
Entity type: Organization (Type 2)
Issued: Sep 5, 2007
Last updated: Jul 21, 2022
Status: Active
Subpart: Yes of Yavapai Community Hospital Association

Other names

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Yavapai Regional Medical Center General Surgery · doing business as

Authorized official

Mr. Lee Livin
Chief Financial Officer
(928) 771-5691

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1649464454

Yavapai Community Hospital Association's National Provider Identifier is 1649464454, issued on Sep 5, 2007. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Prescott, AZ. The record was last updated on Jul 21, 2022.