Organization
NEW RIVER SURGICAL ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS E DAHLEN (SR VP FINANCE)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1120 NEW RIVER PARKWAY, SUITE 100, FALLON, NV 89406
(602) 216-1312
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
—
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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