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Organization

EL DORADO SURGERY CENTER LP

Active
Other names
Tucson Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTINA MUSIC (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7377
Entity
Organization

Contact information

Practice address
2121 N CRAYCROFT RD BLDG 8, TUCSON, AZ 85712-2801
(520) 877-4254
(877) 319-4035
Mailing address
PO BOX 848236, DALLAS, TX 75284-8236
(520) 877-4254
(877) 319-4035

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
586068
AZ
01
OSC10686
STATE LICENSE
AZ
Enumeration date
06/12/2006
Last updated
02/21/2024
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