# PREMIER SURGERY CENTER OF TUCSON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Surgery Center of Tucson LP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316909633
- **Authorized official:** SYLVAIN SIDI MD (CHAIRMAN OF THE BOARD)
- **Authorized official phone:** (520) 296-7080

## Contact information

- **Practice address:** 310 N. WILMOT RD., \#309, TUCSON, AZ 85711
- **Practice address phone:** (520) 296-7080
- **Practice address fax:** (520) 290-8350
- **Mailing address:** 310 N. WILMOT RD., \#309, TUCSON, AZ 85711
- **Mailing address phone:** (520) 296-7080
- **Mailing address fax:** (520) 290-8350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | OSC4349 | AZ | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/03/2006
- **Last updated:** 01/06/2009