# NORTH VALLEY ORTHOPEDIC SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Orthopedic Surgery Center of Arizona
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548203888
- **Authorized official:** ERIC BOON (OFFICER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 2262 E. ROSE GARDEN LANE, PHOENIX, AZ 85024
- **Practice address phone:** (602) 424-4408
- **Practice address fax:** (602) 424-4409
- **Mailing address:** 2262 E ROSE GARDEN LN, PHOENIX, AZ 85024-4497
- **Mailing address phone:** (602) 483-4371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | OSC 4036 | AZ | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 09/17/2024