# SURGICAL & PAIN CENTER OF SCOTTSDALE, LLC

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

## Provider details

- **NPI number:** 1598226268
- **Authorized official:** SAM FARNOUSH MD (ADMINISTRATOR)
- **Authorized official phone:** (602) 882-3683

## Contact information

- **Practice address:** 2629 N SCOTTSDALE RD STE 101, SCOTTSDALE, AZ 85257-1370
- **Practice address phone:** (480) 550-6493
- **Practice address fax:** (602) 297-6997
- **Mailing address:** 2629 N SCOTTSDALE RD STE 100, SCOTTSDALE, AZ 85257-1370
- **Mailing address phone:** (602) 510-3203

## Taxonomy

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

## Other

- **Enumeration date:** 03/26/2019
- **Last updated:** 08/12/2021