Provider Demographics
NPI:1487781928
Name:SWITZER MEDICAL INC
Entity type:Organization
Organization Name:SWITZER MEDICAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOCHBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-714-7090
Mailing Address - Street 1:PO BOX 23364
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86002-3364
Mailing Address - Country:US
Mailing Address - Phone:928-714-7090
Mailing Address - Fax:928-220-8879
Practice Address - Street 1:1016 W UNIVERSITY AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-2994
Practice Address - Country:US
Practice Address - Phone:928-714-7090
Practice Address - Fax:928-220-8879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ71613Medicare PIN