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Organization
ARIZONA CENTER FOR MINIMALLY INVASIVE SURGERY LLC
Active
Organization
ARIZONA CENTER FOR MINIMALLY INVASIVE SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L PHILIPP WALL MD (OWNER)
(623) 544-7266
Entity
Organization
Contact information
Practice address
1475 W CHANDLER BLVD, CHANDLER, AZ 85224-6257
(623) 544-7266
(623) 321-1965
Mailing address
15571 N REEMS RD, SURPRISE, AZ 85374-9584
(623) 544-7266
(623) 321-1965
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
34753
AZ
Other
Enumeration date
01/30/2012
Last updated
09/18/2014
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