Organization
EAST VALLEY PHOENIX ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG MILLER MD (SENIOR VICE PRESIDENT)
(610) 644-8900
Entity
Organization
Contact information
Practice address
4555 E INVERNESS AVE STE 101, MESA, AZ 85206-4630
(610) 644-8900
Mailing address
40 VALLEY STREAM PKWY STE 100, MALVERN, PA 19355-1407
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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