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

Yavapai Surgical PC

Organization Surgery Physician · NPI 1417256447

Yavapai Surgical PC is a Surgery Physician in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011
What do these letters mean?
PC — Professional corporation
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) 776-1994
Fax: (928) 776-9917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 12993A (AZ)

Record details

NPI number1417256447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clifford Morgan — Owner · (928) 776-1994
NPI enumeratedMarch 16, 2011
Last updated in NPPESMarch 16, 2011
Mailing address810 Ainsworth Dr, Suite A, Prescott, AZ 86301-1612

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