# AZ NEURO SURGICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063377828
- **Authorized official:** KIMBERLY GEIS (BILLING MANAGER)
- **Authorized official phone:** (800) 407-1744

## Contact information

- **Practice address:** 1254 W UNIVERSITY AVE STE 130, FLAGSTAFF, AZ 86001-7217
- **Practice address phone:** (928) 395-3296
- **Practice address fax:** (928) 395-4007
- **Mailing address:** 1254 W UNIVERSITY AVE STE 130, FLAGSTAFF, AZ 86001-7217
- **Mailing address phone:** (928) 395-3296
- **Mailing address fax:** (928) 395-4007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/23/2025
- **Last updated:** 12/23/2025