# PLATINUM SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1689360117
- **Authorized official:** JOSHUA OLSON MD (OWNER)
- **Authorized official phone:** (480) 466-7355

## Contact information

- **Practice address:** 1981 E BONANZA CT STE 101, GILBERT, AZ 85297-8012
- **Practice address phone:** (480) 466-7355
- **Mailing address:** 1981 E BONANZA CT STE 101, GILBERT, AZ 85297-8012
- **Mailing address phone:** (480) 466-7355
- **Mailing address fax:** (480) 939-2751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/17/2023
- **Last updated:** 10/02/2023