Provider Demographics
NPI:1053418327
Name:AFFILIATED SOUTHWEST SURGEONS PC
Entity type:Organization
Organization Name:AFFILIATED SOUTHWEST SURGEONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CARUNGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-439-1111
Mailing Address - Street 1:20033 N 19TH AVE BLDG 3
Mailing Address - Street 2:STE. 111
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4245
Mailing Address - Country:US
Mailing Address - Phone:602-439-1111
Mailing Address - Fax:623-582-2456
Practice Address - Street 1:20033 N 19TH AVE BLDG 3
Practice Address - Street 2:#111
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-4245
Practice Address - Country:US
Practice Address - Phone:602-439-1111
Practice Address - Fax:623-582-2456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty