Organization
AZ SURGICAL SUPPORT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ORRIS DO (OWNER)
(480) 689-5104
Entity
Organization
Contact information
Practice address
1855 E SOUTHERN AVE STE 4, TEMPE, AZ 85282-5894
(480) 689-5104
(480) 245-6337
Mailing address
1847 E SOUTHERN AVE STE 2, TEMPE, AZ 85282-5881
(480) 689-5104
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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