Organization
SCOTTSDALE SURGICAL SOLUTIONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY CONNORS RN (OFFICE MANAGER)
(480) 772-2453
Entity
Organization
Contact information
Practice address
20401 N 73RD ST STE 155, SCOTTSDALE, AZ 85255-4149
(480) 772-2453
(480) 774-3255
Mailing address
3104 E CAMELBACK RD # 1035, PHOENIX, AZ 85016-4502
(480) 772-2453
(480) 774-3255
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013541507
NPI
AZ
Enumeration date
05/25/2017
Last updated
07/30/2024
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