Organization
ADOBE SURGERY CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM MOUSSA MD (PRESIDENT)
(520) 721-2728
Entity
Organization
Contact information
Practice address
2585 N WYATT DR, TUCSON, AZ 85712-6104
(520) 721-2728
(520) 721-0179
Mailing address
2585 N WYATT DR, TUCSON, AZ 85712-6104
(520) 721-2728
(520) 721-0179
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC3020
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
543456
—
AZ
Enumeration date
09/16/2005
Last updated
08/22/2020
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