Organization
SURGCENTER NORTHERN PHOENIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVEN BURNS MD (CEO)
(480) 747-1321
Entity
Organization
Contact information
Practice address
2611 W CAREFREE HWY BLDG E, PHOENIX, AZ 85085-8862
(143) 575-7889
Mailing address
18 ROAD 3336, AZTEC, NM 87410-9101
(435) 757-8894
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
02/05/2024
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