# ADVANCED SURGERY CENTER OF ARIZONA, LLP

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

## Provider details

- **NPI number:** 1649662206
- **Authorized official:** AMBER DATTILO (ADMINISTRATOR)
- **Authorized official phone:** (480) 666-9329

## Contact information

- **Practice address:** 10255 N 32ND ST STE A, PHOENIX, AZ 85028-3822
- **Practice address phone:** (480) 666-9329
- **Practice address fax:** (480) 616-2963
- **Mailing address:** 10255 N 32ND ST STE A, PHOENIX, AZ 85028-3822
- **Mailing address phone:** (480) 666-9329
- **Mailing address fax:** (480) 616-2963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | AZ | Yes |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/19/2015
- **Last updated:** 05/15/2025