Organization
PHOENIX SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIMOR PHILIPP WALL MD (PRESIDENT)
(888) 678-8411
Entity
Organization
Contact information
Practice address
20045 N 19TH AVE, PHOENIX, AZ 85027-4252
(888) 678-8411
(602) 926-2736
Mailing address
PO BOX 37050, TUCSON, AZ 85740-7050
(888) 678-8411
(602) 926-2736
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2014
Last updated
08/09/2016
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