S-H Opco Peridot, LLC

Practice location

Address

211 Bradshaw Dr, Prescott, AZ 86303-4405

Phone

(928) 777-5511

Mailing address

6737 W Washington St Suite 2300, Milwaukee, WI 53214-5647

Authorised official

Name

Mark Ohlendorf

Title

Cfo

Phone

(414) 918-5000

Registered specialties

Registry record

NPI

1467860593

Entity type

Organization

NPI issued

1 Aug 2014

Record last updated

1 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.