# ORTHOPEDIC SURGERY CENTER OF SCOTTSDALE, LLC

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

## Provider details

- **NPI number:** 1467950527
- **Authorized official:** TINA MANKIN (ADMINISTRATOR)
- **Authorized official phone:** (602) 510-3203

## Contact information

- **Practice address:** 2629 N SCOTTSDALE RD STE 100, SCOTTSDALE, AZ 85257-1370
- **Practice address phone:** (602) 510-3203
- **Practice address fax:** (602) 297-6997
- **Mailing address:** 21001 N TATUM BLVD STE 1630-466, PHOENIX, AZ 85050-4242
- **Mailing address phone:** (602) 510-3203
- **Mailing address fax:** (602) 297-6997

## Taxonomy

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

## Other

- **Enumeration date:** 01/24/2018
- **Last updated:** 01/24/2018