Organization
SUN CITY WEST SURGERY CENTER, LLC
Active
Other names
Desert Mirage Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAY E WELLS (DIRECTOR OF CLINICAL DEVELOPMENT)
(405) 623-7743
Entity
Organization
Contact information
Practice address
12361 W BOLA DR, SUITE 112, SURPRISE, AZ 85374-9019
(405) 285-7500
(405) 285-7501
Mailing address
12361 W BOLA DR, SUITE 112, SURPRISE, AZ 85374-9019
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
AZ
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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