Organization
GREENWAYSURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH RICKER ESQ (CLO/COO)
(480) 573-0212
Entity
Organization
Contact information
Practice address
2525 W GREENWAY RD STE 100, PHOENIX, AZ 85023-4280
(480) 716-9991
(480) 716-9991
Mailing address
2525 W GREENWAY RD STE 300, PHOENIX, AZ 85023-4292
(480) 716-9991
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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