Organization
SURPRISE HEALTH CENTER, PLLC
Active
Other names
Optum Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (REGIONAL MANAGER)
(702) 480-2550
Entity
Organization
Contact information
Practice address
14973 W BELL RD, #100, SURPRISE, AZ 85374-3202
(623) 815-2900
(623) 583-1319
Mailing address
16435 N SCOTTSDALE RD STE 400, SCOTTSDALE, AZ 85254-1745
(602) 675-9005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
08/31/2006
Last updated
09/02/2023
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