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Organization
ALIVIO SURGERY CENTER, LLC
Active
Organization
ALIVIO SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT COOK (MANAGER)
(602) 313-8110
Entity
Organization
Contact information
Practice address
20045 N 19TH AVE BLDG 12, PHOENIX, AZ 85027-4270
(602) 313-8110
Mailing address
20045 N 19TH AVE BLDG 12, PHOENIX, AZ 85027-4270
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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