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Organization
SUN CITY WEST SURGERY CENTER, LLC
Active
Organization
SUN CITY WEST SURGERY CENTER, LLC
Active
Other names
Desert Mirage Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAY E WELLS (DIRECTOR OF CLINICAL DEVELOPMENT)
(405) 623-7743
Entity
Organization
Contact information
Practice address
12361 W BOLA DR, SUITE 112, SURPRISE, AZ 85374-9019
(405) 285-7500
(405) 285-7501
Mailing address
12361 W BOLA DR, SUITE 112, SURPRISE, AZ 85374-9019
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
AZ
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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