Organization
SPEEDWAY SURGICAL SPECIALISTS, LLC
Active
Parent organization
SPEEDWAY SURGICAL SPECIALISTS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPEEDWAY SURGICAL SPECIALISTS, LLC
Authorized official
AMY NAMANNY PHARMD/MBA (BOARD MEMBER)
(520) 777-4090
Entity
Organization
Contact information
Practice address
6442 E SPEEDWAY BLVD STE 152, TUCSON, AZ 85710-1134
(520) 771-8175
(520) 771-9402
Mailing address
6442 E SPEEDWAY BLVD STE 152, TUCSON, AZ 85710-0013
(520) 771-8175
(520) 771-9194
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
05/10/2023
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