ARIZONA GENERAL SURGERY SPECIALIST PC NPI 1962624056

NPI Information

  • NPI: 1962624056
  • Provider Name: ARIZONA GENERAL SURGERY SPECIALIST PC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 14155 N 83RD AVE STE A-105
    PEORIA, AZ
    ZIP 85381
  • Phone: (209) 956-7725

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NPI Details

ARIZONA GENERAL SURGERY SPECIALIST PC is a surgery in Peoria, AZ. The provider is 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 increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. ARIZONA GENERAL SURGERY SPECIALIST PC NPI is 1962624056. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14155 N 83RD AVE STE A-105
PEORIA, AZ
ZIP 85381-639
Phone: (209) 956-7725
Fax: (623) 486-7703

The provider's authorized official is Brian Edward Prebil .
The authorized official title is Owner and has the following contact phone number (623) 486-7700.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 10/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistARIZONANo
2208600000XSurgeryYes

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This page was last updated on: 11/21/2025

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