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Organization
PLATINUM SURGERY CENTER LLC
Active
Organization
PLATINUM SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA OLSON MD (OWNER)
(480) 466-7355
Entity
Organization
Contact information
Practice address
1981 E BONANZA CT STE 101, GILBERT, AZ 85297-8012
(480) 466-7355
Mailing address
1981 E BONANZA CT STE 101, GILBERT, AZ 85297-8012
(480) 466-7355
(480) 939-2751
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
NULL
208200000X
Plastic Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/17/2023
Last updated
10/02/2023
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