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Organization
EAST VALLEY ASC LLC
Active
Organization
EAST VALLEY ASC LLC
Active
Other names
EAST VALLEY ASC LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TINA CHERRO (CEO)
(480) 450-6069
Entity
Organization
Contact information
Practice address
4838 E BASELINE RD STE 108, MESA, AZ 85206-4672
(480) 450-6069
Mailing address
4838 E BASELINE RD STE 105, MESA, AZ 85206-4672
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/27/2022
Last updated
08/03/2022
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