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Organization
OLIVE SURGICAL CARE, LLC
Active
Organization
OLIVE SURGICAL CARE, LLC
Active
Other names
Desert Vista Surgery Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AARON LATOWSKY MD (MEDICAL DIRECTOR)
(623) 547-5420
Entity
Organization
Contact information
Practice address
8914 N 91ST AVE, SUITE 100-A, PEORIA, AZ 85345-8396
(623) 547-5420
(623) 594-8936
Mailing address
8914 N 91ST AVE, SUITE 100-A, PEORIA, AZ 85345-8396
(623) 547-5420
(623) 594-8936
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC5845
AZ
Other
Enumeration date
02/14/2014
Last updated
04/02/2015
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