Provider Demographics
NPI:1053459297
Name:PALO VERDE SURGICAL ASSOCIATES, PC
Entity type:Organization
Organization Name:PALO VERDE SURGICAL ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:D
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-322-8450
Mailing Address - Street 1:630 N ALVERNON WAY STE 180
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-1895
Mailing Address - Country:US
Mailing Address - Phone:520-322-8450
Mailing Address - Fax:520-322-5446
Practice Address - Street 1:630 N ALVERNON WAY STE 180
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-1895
Practice Address - Country:US
Practice Address - Phone:520-322-8450
Practice Address - Fax:520-322-5446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ23872Medicare ID - Type UnspecifiedMEDICARE ID NO.