# SURGERY CENTER OF SCOTTSDALE, LLC

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

## Provider details

- **NPI number:** 1558794081
- **Authorized official:** ERIC BOON (OFFICER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 2450 E GUADALUPE RD, STE 101, GILBERT, AZ 85234-5116
- **Practice address phone:** (480) 398-8456
- **Practice address fax:** (480) 584-3063
- **Mailing address:** 2450 E GUADALUPE RD, STE 101, GILBERT, AZ 85234-5116
- **Mailing address phone:** (480) 228-3757
- **Mailing address fax:** (480) 907-2741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | OSC6367 | AZ | Yes |

## Other

- **Enumeration date:** 08/20/2013
- **Last updated:** 01/11/2025
