Organization
ARIZONA SURGICAL SPECIALISTS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN SIWEK MD (PRESIDENT)
(623) 516-8252
Entity
Organization
Contact information
Practice address
1984 E BASELINE RD, TEMPE, AZ 85283-1535
(480) 237-1234
(480) 237-1236
Mailing address
5281 N 99TH AVE, SUITE 100, GLENDALE, AZ 85305-3105
(480) 237-1234
(623) 691-8502
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC6456
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
940727
AHCCCS NUMBER
AZ
Enumeration date
03/13/2007
Last updated
02/02/2019
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