Organization
SURGCENTER CAMELBACK 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
6245 N 24TH PKWY, SUITE 112, PHOENIX, AZ 85016
(602) 682-7005
(602) 680-7225
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(469) 893-2500
(504) 322-3284
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2014
Last updated
01/11/2025
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