Organization
EAST VALLEY ASC LLC
Active
Other names
EAST VALLEY ASC LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TINA CHERRO (CEO)
(480) 450-6069
Entity
Organization
Contact information
Practice address
4838 E BASELINE RD STE 108, MESA, AZ 85206-4672
(480) 450-6069
Mailing address
4838 E BASELINE RD STE 105, MESA, AZ 85206-4672
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
08/03/2022
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