# OSBORN AMBULATORY SURGICAL CENTER

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

## Provider details

- **NPI number:** 1780629980
- **Authorized official:** DENNIS E DAHLEN (SR VICE PRESIDENT FINANCE)
- **Authorized official phone:** (602) 747-4000

## Contact information

- **Practice address:** 3330 N 2ND ST STE 300, PHOENIX, AZ 85012-2369
- **Practice address phone:** (602) 265-0113
- **Mailing address:** 1441 N 12TH ST, PHOENIX, AZ 85006-2837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | OSC 3778 | AZ | Yes |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 08/22/2020