Organization
REPRO SURGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILLIE BEHERA M.D. (MEDICAL DIRECTOR)
(919) 641-6024
Entity
Organization
Contact information
Practice address
8415 N PIMA RD, SUITE 291, SCOTTSDALE, AZ 85258-4480
(919) 641-6024
(480) 434-6572
Mailing address
8415 N PIMA RD, SUITE 291, SCOTTSDALE, AZ 85258-4480
(919) 641-6024
(480) 434-6572
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
42873
AZ
Other
Enumeration date
08/02/2016
Last updated
12/04/2017
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