Organization
SURGERY CENTER OF SCOTTSDALE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER/AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
18555 N 79TH AVE, BLDG C, GLENDALE, AZ 85308-8370
(623) 776-2500
(623) 776-2555
Mailing address
18555 N 79TH AVE, BLDG C, GLENDALE, AZ 85308-8370
(623) 776-2500
(623) 776-2555
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC6638
AZ
Other
Enumeration date
11/08/2013
Last updated
10/30/2024
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