# AHWATUKEE AMBULATORY SURGICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1457898827
- **Authorized official:** DR. TODD KEITH FARNWORTH MD (MANAGER)
- **Authorized official phone:** (480) 239-4799

## Contact information

- **Practice address:** 15810 S 45TH ST, SUITE 140, PHOENIX, AZ 85048-7694
- **Practice address phone:** (480) 239-4799
- **Mailing address:** 15810 S 45TH ST, SUITE 140, PHOENIX, AZ 85048-7694
- **Mailing address phone:** (480) 239-4799

## Taxonomy

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

## Other

- **Enumeration date:** 01/24/2017
- **Last updated:** 01/24/2017