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Organization
SURGERY CENTER OF PEORIA, LLC
Active
Organization
SURGERY CENTER OF PEORIA, LLC
Active
Other names
Surgery Center of Peoria
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER/AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
13260 N 94TH DR, SUITE 200, PEORIA, AZ 85381-4828
(623) 933-2900
(623) 933-0017
Mailing address
13260 N 94TH DR, SUITE 200, PEORIA, AZ 85381-4828
(623) 933-2900
(623) 933-0017
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC0016
AZ
Other
Enumeration date
08/02/2005
Last updated
09/22/2025
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