Organization
NORTH MOUNTAIN SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN L NANCE RN, CNOR, CASC (EXECUTIVE DIRECTOR)
(602) 903-0360
Entity
Organization
Contact information
Practice address
9250 N 3RD ST, SUITE 101, PHOENIX, AZ 85020
(602) 903-0360
Mailing address
PO BOX 47510, 9250 N 3RD ST SUITE 101, PHOENIX, AZ 85068-7510
(602) 903-0360
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2007
Last updated
03/04/2009
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