# EAST VALLEY OUTPATIENT SURGERY, LLC

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

## Provider details

- **NPI number:** 1851946875
- **Authorized official:** WARREN HILL MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 981-6111

## Contact information

- **Practice address:** 5620 E BROADWAY RD, MESA, AZ 85206-1438
- **Practice address phone:** (480) 981-6111
- **Mailing address:** 5620 E BROADWAY RD STE 102, MESA, AZ 85206-1438
- **Mailing address phone:** (480) 981-6111

## Taxonomy

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

## Other

- **Enumeration date:** 08/06/2019
- **Last updated:** 10/08/2019