Organization
UNITED SURGICAL ASSOCIATES, L.L.C.
Active
Other names
UNITED SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI SMITHSON R.N. (ADMINISTRATOR)
(928) 649-4480
Entity
Organization
Contact information
Practice address
651 W MINGUS AVE, SUITE 2A, COTTONWOOD, AZ 86326-4006
(928) 649-4480
(928) 634-8118
Mailing address
651 W MINGUS AVE, SUITE 2A, COTTONWOOD, AZ 86326-4006
(928) 649-4480
(928) 634-8118
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC 3418
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820680
—
AZ
01
—
AZ0208760
BCBS ID
AZ
Enumeration date
02/07/2007
Last updated
08/22/2020
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