# QUEEN CREEK SURGICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1639605595
- **Authorized official:** ARIC BURKE (DIRECTOR/OFFICER)
- **Authorized official phone:** (480) 689-8403

## Contact information

- **Practice address:** 36453 N GANTZEL RD STE 102, SAN TAN VALLEY, AZ 85140-7340
- **Practice address phone:** (480) 562-5292
- **Practice address fax:** (480) 636-8890
- **Mailing address:** 36453 N GANTZEL RD STE 102, SAN TAN VALLEY, AZ 85140-7340
- **Mailing address phone:** (480) 562-5292
- **Mailing address fax:** (480) 508-4617

## Taxonomy

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

## Other

- **Enumeration date:** 05/11/2017
- **Last updated:** 08/26/2024
