Organization
MARYVALE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX BIGHAM DC (MEMBER)
(602) 549-2225
Entity
Organization
Contact information
Practice address
7141 W THOMAS RD STE 101, PHOENIX, AZ 85033-5518
(602) 549-2225
Mailing address
604 W WARNER RD STE C2, CHANDLER, AZ 85225-2915
(602) 549-2225
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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