# ALIVIO SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1366052508
- **Authorized official:** GRANT COOK (MANAGER)
- **Authorized official phone:** (602) 313-8110

## Contact information

- **Practice address:** 20045 N 19TH AVE BLDG 12, PHOENIX, AZ 85027-4270
- **Practice address phone:** (602) 313-8110
- **Mailing address:** 20045 N 19TH AVE BLDG 12, PHOENIX, AZ 85027-4270

## Taxonomy

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

## Other

- **Enumeration date:** 08/03/2020
- **Last updated:** 08/03/2020