# MARICOPA SURGICAL ASSOCIATES, INC

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

## Provider details

- **NPI number:** 1720280795
- **Authorized official:** ANN ELIZABETH TYRRELL NP (PRESIDENT)
- **Authorized official phone:** (602) 616-0123

## Contact information

- **Practice address:** 8314 N 49TH DR, GLENDALE, AZ 85302-6307
- **Practice address phone:** (602) 616-0123
- **Practice address fax:** (623) 847-1140
- **Mailing address:** 8314 N 49TH DR, GLENDALE, AZ 85302-6307
- **Mailing address phone:** (602) 616-0123
- **Mailing address fax:** (623) 847-1140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | RN043432 | AZ | Yes |

## Other

- **Enumeration date:** 06/01/2007
- **Last updated:** 08/22/2020