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

Prescott Surgical Clinic PA

Organization Surgery Physician · NPI 1659609238

Prescott Surgical Clinic PA is a Surgery Physician in Prescott, Arizona. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

810 Ainsworth Dr Ste A
Prescott, AZ 86301-1612
Phone: (928) 445-9660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1659609238
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Rusing — President · (480) 985-1093
NPI enumeratedNovember 19, 2009
Last updated in NPPESNovember 19, 2009
Mailing addressPo Box 20490, Mesa, AZ 85277-0490

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