Organization
ASC TEMPE LLC
Active
Other names
ICON Surgery Center of Tempe
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ANDERSON (CEO)
(720) 341-3399
Entity
Organization
Contact information
Practice address
940 E UNIVERSITY DR, STE. 102, TEMPE, AZ 85281-4278
(623) 500-6072
Mailing address
201 FILLMORE ST, STE. 201, DENVER, CO 80206-5022
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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