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Organization
SURPRISE HEALTH CENTER, PLLC
Active
Organization
SURPRISE HEALTH CENTER, PLLC
Active
Other names
Optum Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (REGIONAL MANAGER)
(702) 480-2550
Entity
Organization
Contact information
Practice address
14973 W BELL RD, #100, SURPRISE, AZ 85374-3202
(623) 815-2900
(623) 583-1319
Mailing address
16435 N SCOTTSDALE RD STE 400, SCOTTSDALE, AZ 85254-1745
(602) 675-9005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
08/31/2006
Last updated
09/02/2023
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