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Organization
BSC REID PARK LLC
Active
Organization
BSC REID PARK LLC
Active
Other names
Banner Surgery Center Reid Park
Organization subpart
No
Provider details
NPI number
Authorized official
ARIC BURKE (DIRECTOR/OFFICER)
(480) 689-8403
Entity
Organization
Contact information
Practice address
717 S ALVERNON WAY, TUCSON, AZ 85711-5351
(520) 204-1495
Mailing address
2355 E CAMELBACK RD STE 700, PHOENIX, AZ 85016-9044
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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