Provider Demographics
NPI:1568612869
Name:SOUTHWEST SURGICAL SERVICES
Entity Type:Organization
Organization Name:SOUTHWEST SURGICAL SERVICES
Other - Org Name:S CORPORATION
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER - PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:KRASZEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-250-2001
Mailing Address - Street 1:P.O. BOX 17536
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85731-7536
Mailing Address - Country:US
Mailing Address - Phone:520-245-0160
Mailing Address - Fax:520-509-3719
Practice Address - Street 1:12125 E. QUESADA PLACE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85749
Practice Address - Country:US
Practice Address - Phone:520-664-6264
Practice Address - Fax:520-509-3719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty