# OLIVE SURGICAL CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Desert Vista Surgery Center, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942624622
- **Authorized official:** AARON LATOWSKY MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (623) 547-5420

## Contact information

- **Practice address:** 8914 N 91ST AVE, SUITE 100-A, PEORIA, AZ 85345-8396
- **Practice address phone:** (623) 547-5420
- **Practice address fax:** (623) 594-8936
- **Mailing address:** 8914 N 91ST AVE, SUITE 100-A, PEORIA, AZ 85345-8396
- **Mailing address phone:** (623) 547-5420
- **Mailing address fax:** (623) 594-8936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | OSC5845 | AZ | Yes |

## Other

- **Enumeration date:** 02/14/2014
- **Last updated:** 04/02/2015
