Organization
SURGEPAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL L. BONILLA MD (MEDICAL DIRECTOR)
(928) 600-6762
Entity
Organization
Contact information
Practice address
9500 E IRONWOOD SQUARE DR STE 110, SCOTTSDALE, AZ 85258-4582
(928) 600-6762
Mailing address
2526 W RANCHO LAREDO DR, PHOENIX, AZ 85085-7168
(770) 595-2384
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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