Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BANNER ENTICARE TEMPE SURGERY CENTER LLC
Active
Organization
BANNER ENTICARE TEMPE SURGERY CENTER LLC
Active
Other names
Banner Tempe Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOMAN MOSTAFAVI DO (MANAGER-MEMBER)
(248) 229-6188
Entity
Organization
Contact information
Practice address
1940 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 820-7101
Mailing address
2355 E CAMELBACK RD STE 700, PHOENIX, AZ 85016-9044
(602) 550-0428
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/20/2019
Last updated
02/11/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers