# SCOTTSDALE SHEA SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1184386260
- **Authorized official:** MATTHEW CROOKS MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (480) 263-0597

## Contact information

- **Practice address:** 10117 N 92ND ST STE 103, SCOTTSDALE, AZ 85258-4555
- **Practice address phone:** (480) 302-7875
- **Mailing address:** 15333 N PIMA RD STE 305, SCOTTSDALE, AZ 85260-2717

## Taxonomy

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

## Other

- **Enumeration date:** 10/06/2021
- **Last updated:** 10/06/2021