Organization
ADVANCED SURGERY CENTER CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN CARLSON MD (OWNER)
(808) 546-9864
Entity
Organization
Contact information
Practice address
15333 N PIMA RD STE 305, SCOTTSDALE, AZ 85260-2717
(808) 546-9864
Mailing address
21211 N 38TH PL, PHOENIX, AZ 85050-4963
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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