# BSC REID PARK LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Banner Surgery Center Reid Park
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508438375
- **Authorized official:** ARIC BURKE (DIRECTOR/OFFICER)
- **Authorized official phone:** (480) 689-8403

## Contact information

- **Practice address:** 717 S ALVERNON WAY, TUCSON, AZ 85711-5351
- **Practice address phone:** (520) 204-1495
- **Mailing address:** 2355 E CAMELBACK RD STE 700, PHOENIX, AZ 85016-9044

## Taxonomy

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

## Other

- **Enumeration date:** 07/12/2021
- **Last updated:** 07/12/2021