Organization
PALMER SURGICENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSEL S PALMER M.D. (OWNER)
(602) 298-2653
Entity
Organization
Contact information
Practice address
2699 STIRLING RD, #B101, FORT LAUDERDALE, FL 33312-6517
(954) 989-5001
Mailing address
6740 W DEER VALLEY RD, SUITE D107-255, GLENDALE, AZ 85310-5953
(602) 298-2653
(602) 298-2686
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
06/25/2010
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