Organization
AHWATUKEE AMBULATORY SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD KEITH FARNWORTH MD (MANAGER)
(480) 239-4799
Entity
Organization
Contact information
Practice address
15810 S 45TH ST, SUITE 140, PHOENIX, AZ 85048-7694
(480) 239-4799
Mailing address
15810 S 45TH ST, SUITE 140, PHOENIX, AZ 85048-7694
(480) 239-4799
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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