# REPRO SURGICAL, LLC

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

## Provider details

- **NPI number:** 1376096776
- **Authorized official:** DR. MILLIE BEHERA M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (919) 641-6024

## Contact information

- **Practice address:** 8415 N PIMA RD, SUITE 291, SCOTTSDALE, AZ 85258-4480
- **Practice address phone:** (919) 641-6024
- **Practice address fax:** (480) 434-6572
- **Mailing address:** 8415 N PIMA RD, SUITE 291, SCOTTSDALE, AZ 85258-4480
- **Mailing address phone:** (919) 641-6024
- **Mailing address fax:** (480) 434-6572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 42873 | AZ | Yes |

## Other

- **Enumeration date:** 08/02/2016
- **Last updated:** 12/04/2017