Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain Creek Surgical Consultants

Organization Surgery Physician · NPI 1093832925

Mountain Creek Surgical Consultants is a Surgery Physician in Show Low, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007

Practice location Address checks out

5171 Cub Lake Rd Ste C390
Show Low, AZ 85901-7888
Phone: (928) 532-5463
Fax: (928) 532-8474
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4351 (AZ)

Record details

NPI number1093832925
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffery Butte — President · (928) 532-5463
NPI enumeratedMarch 24, 2007
Last updated in NPPESFebruary 24, 2009
Mailing address5171 Cub Lake Rd Ste C390, Show Low, AZ 85901-7891

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