Organization
DOCTORS OUTPATIENT SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEN C EUBANK DC (ADMINISTRATOR)
(480) 839-2020
Entity
Organization
Contact information
Practice address
2155 E CONFERENCE DR, SUITE 111, TEMPE, AZ 85284-2604
(480) 839-2020
(480) 839-2121
Mailing address
2155 E CONFERENCE DR, SUITE 111, TEMPE, AZ 85284
(480) 839-2020
(480) 839-2121
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC4604
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-C0001321
CMS CERTIFICATION
AZ
Enumeration date
12/15/2008
Last updated
10/26/2016
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