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Organization
ADVANCED SURGERY CENTER OF ARIZONA, LLP
Active
Organization
ADVANCED SURGERY CENTER OF ARIZONA, LLP
Active
Other names
Advanced Surgery Center of Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER DATTILO (ADMINISTRATOR)
(480) 666-9329
Entity
Organization
Contact information
Practice address
10255 N 32ND ST STE A, PHOENIX, AZ 85028-3822
(480) 666-9329
(480) 616-2963
Mailing address
10255 N 32ND ST STE A, PHOENIX, AZ 85028-3822
(480) 666-9329
(480) 616-2963
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
NULL
207W00000X
Ophthalmology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
AZ
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
NULL
Other
Enumeration date
02/19/2015
Last updated
05/15/2025
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