Organization
UROLOGY ASC- PHOENIX, LLC
Active
Other names
Urologic Surgery Center of Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER/AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
1313 E OSBORN RD STE 170B, PHOENIX, AZ 85014-5678
(602) 264-4431
(602) 266-3870
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(469) 872-4706
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
10/24/2024
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