# SURGERY CENTER OF PEORIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Surgery Center of Peoria
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992706899
- **Authorized official:** ERIC BOON (OFFICER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 13260 N 94TH DR, SUITE 200, PEORIA, AZ 85381-4828
- **Practice address phone:** (623) 933-2900
- **Practice address fax:** (623) 933-0017
- **Mailing address:** 13260 N 94TH DR, SUITE 200, PEORIA, AZ 85381-4828
- **Mailing address phone:** (623) 933-2900
- **Mailing address fax:** (623) 933-0017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | OSC0016 | AZ | Yes |

## Other

- **Enumeration date:** 08/02/2005
- **Last updated:** 09/22/2025