# CENTRAL ARIZONA SURGICAL CENTER

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

## Provider details

- **NPI number:** 1962750356
- **Authorized official:** DONALD D BACA (ADMINISTRATOR)
- **Authorized official phone:** (505) 506-0737

## Contact information

- **Practice address:** 5133 N CENTRAL AVE STE 100, PHOENIX, AZ 85012-1438
- **Practice address phone:** (602) 279-0044
- **Practice address fax:** (602) 279-0088
- **Mailing address:** 5133 N CENTRAL AVE STE 100, PHOENIX, AZ 85012-1438
- **Mailing address phone:** (602) 279-0044
- **Mailing address fax:** (602) 279-0088

## Taxonomy

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

## Other

- **Enumeration date:** 08/16/2012
- **Last updated:** 08/16/2012