Organization
PISA ASC HOLDCO LLC
Active
Other names
Pain Institute of Southern Arizona Procedure Center
Organization subpart
No
Provider details
NPI number
Authorized official
GREG TURK (DIRECTOR/OFFICER)
(520) 333-7730
Entity
Organization
Contact information
Practice address
4741 E CAMP LOWELL DRIVE, TUCSON, AZ 85712
(520) 318-6035
(520) 795-9953
Mailing address
4741 E CAMP LOWELL DR, TUCSON, AZ 85712-1256
(520) 829-6620
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003149
—
AZ
Enumeration date
07/03/2019
Last updated
06/04/2024
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