Organization
TCS SURGICAL FACILITY, PC
Active
Other names
TCS Surgical Facility, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN SAMUAL TRAIKOVICH DO (OWNER)
(623) 516-1030
Entity
Organization
Contact information
Practice address
19636 N 27TH AVE, STE 206, PHOENIX, AZ 85027-4013
(623) 516-1030
(623) 580-9084
Mailing address
19636 N 27TH AVE, STE 206, PHOENIX, AZ 85027-4013
(623) 516-1030
(623) 580-9084
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
394718
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IZ1004
HEALTHNET PROVIDER
AZ
Enumeration date
11/13/2006
Last updated
08/22/2020
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