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Organization
POWER SURGICAL INSTITUTE, LLC
Active
Organization
POWER SURGICAL INSTITUTE, LLC
Active
Other names
Power Surgical Institute, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDIE HERNANDEZ (DIRECTOR OF OPERATIONS)
(480) 634-4606
Entity
Organization
Contact information
Practice address
6424 E BROADWAY RD STE 102, MESA, AZ 85206-1750
(480) 634-4606
Mailing address
6424 E BROADWAY RD STE 102, MESA, AZ 85206-1750
(480) 634-4606
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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