Organization
OCOTILLO SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW MOORE DO (MANAGING MEMBER)
(480) 597-4778
Entity
Organization
Contact information
Practice address
3920 S ROME STREET, GILBERT, AZ 85297
(480) 597-4778
Mailing address
1900 W FRYE RD STE 1, CHANDLER, AZ 85224-6235
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
03/25/2020
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