Organization
PAVILION SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN GIESSLER (SR VP OF ASC OPS & BUSINESS SVCS)
(480) 207-3716
Entity
Organization
Contact information
Practice address
1140 W LA VETA AVE, ORANGE, CA 92868-4225
(714) 744-8711
Mailing address
3033 N 44TH ST STE 200, PHOENIX, AZ 85018-7244
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
03/28/2018
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