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Organization
TCSC EV LLC
Active
Organization
TCSC EV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE DESTEFANO (MANAGER)
(602) 715-1657
Entity
Organization
Contact information
Practice address
1114 S HIGLEY RD STE 101, MESA, AZ 85206-3000
(602) 715-1654
Mailing address
1114 S HIGLEY RD STE 101-A, MESA, AZ 85206-3000
(602) 715-1654
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/10/2017
Last updated
07/21/2022
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