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Organization
ADVANCED DIAGNOSTIC & SURGICAL RECOVERY INSTITUTE, LLC
Active
Organization
ADVANCED DIAGNOSTIC & SURGICAL RECOVERY INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. H. RANDALL CRAIG MD (MANAGER)
(480) 788-3107
Entity
Organization
Contact information
Practice address
2155 E CONFERENCE DR, SUITE 110, TEMPE, AZ 85284-2604
(480) 788-3107
(480) 436-6676
Mailing address
2155 E CONFERENCE DR, SUITE 110, TEMPE, AZ 85284-2604
(480) 788-3107
(480) 436-6676
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
AZ
261QR0800X
Recovery Care Clinic/Center
Primary
—
AZ
261QR1100X
Research Clinic/Center
—
AZ
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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