Organization
SOLACE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDIE HERNANDEZ (DIRECTOR OF OPERATIONS)
(480) 634-4606
Entity
Organization
Contact information
Practice address
6424 E BROADWAY RD STE 102, MESA, AZ 85206-1750
(480) 634-4606
Mailing address
6424 E BROADWAY RD STE 102, MESA, AZ 85206-1750
(480) 634-4606
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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