Healthcare Provider Details

I. General information

NPI: 1417815952
Provider Name (Legal Business Name): ARIZONA COMMUNITY SURGEONS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2026
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N WILMOT RD STE A220
TUCSON AZ
85712-4416
US

IV. Provider business mailing address

8340 N THORNYDALE RD STE 110
TUCSON AZ
85741-1162
US

V. Phone/Fax

Practice location:
  • Phone: 520-750-7160
  • Fax:
Mailing address:
  • Phone: 520-750-7160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: KARA GIRARD
Title or Position: BILLING SUPERVISOR
Credential:
Phone: 520-750-7162