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Organization
CENTRAL ARIZONA SURGICAL CENTER
Active
Organization
CENTRAL ARIZONA SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D BACA (ADMINISTRATOR)
(505) 506-0737
Entity
Organization
Contact information
Practice address
5133 N CENTRAL AVE STE 100, PHOENIX, AZ 85012-1438
(602) 279-0044
(602) 279-0088
Mailing address
5133 N CENTRAL AVE STE 100, PHOENIX, AZ 85012-1438
(602) 279-0044
(602) 279-0088
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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