Organization
MOUNTIAN VIEW SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEILA MICKLOS MS FNP-BNC (ASC DIRECTOR)
(480) 245-6131
Entity
Organization
Contact information
Practice address
9787 N 91ST ST, SUITE 101, SCOTTSDALE, AZ 85258-5088
(480) 563-6400
(480) 563-8009
Mailing address
9787 N 91ST ST, SUITE 100, SCOTTSDALE, AZ 85258-5088
(480) 245-6131
(480) 563-8009
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2010
Last updated
03/14/2012
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