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Organization

STAR SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TINA MANKIN (ADMINISTRATOR)
(602) 510-3203
Entity
Organization

Contact information

Practice address
14155 N 83RD AVE STE 140, PEORIA, AZ 85381-5652
(623) 248-5842
(623) 248-5843
Mailing address
14155 N 83RD AVE STE 140, PEORIA, AZ 85381-5652

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
01/28/2020
Last updated
01/28/2020
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