# SILVERLEAF SURGICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1780035428
- **Authorized official:** DAVID TOM (MEDICAL DIRECTOR)
- **Authorized official phone:** (480) 757-5548

## Contact information

- **Practice address:** 1704 E BOSTON ST, GILBERT, AZ 85295-6223
- **Practice address phone:** (480) 757-5548
- **Practice address fax:** (480) 757-5547
- **Mailing address:** 1704 E BOSTON ST, GILBERT, AZ 85295-6223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/23/2016
- **Last updated:** 01/02/2020
