Organization
ELITE SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT COOK (MANAGER)
(214) 295-6703
Entity
Organization
Contact information
Practice address
4540 E BASELINE RD STE 117, MESA, AZ 85206-4617
(480) 622-4158
Mailing address
15333 N PIMA RD STE 305, SCOTTSDALE, AZ 85260-2717
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
04/21/2020
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