# DESERT SKY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1871139931
- **Authorized official:** DR. DANIEL O'CONNOR MD (OWNER/MEDICAL DIRECTOR)
- **Authorized official phone:** (214) 295-6703

## Contact information

- **Practice address:** 20045 N 19TH AVE BLDG 12, PHOENIX, AZ 85027-4270
- **Practice address phone:** (602) 313-8110
- **Mailing address:** 18511 N SCOTTSDALE RD STE 202, SCOTTSDALE, AZ 85255-9694

## Taxonomy

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

## Other

- **Enumeration date:** 11/25/2019
- **Last updated:** 04/27/2020
