Organization
APOLLO SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAWN BOONSTRA (OFFICE MANAGER)
(480) 286-7907
Entity
Organization
Contact information
Practice address
7615 E BASELINE RD STE 102, MESA, AZ 85209-2000
(480) 597-3290
Mailing address
7615 E BASELINE RD STE 102, MESA, AZ 85209-2000
(480) 597-3290
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
04/12/2024
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