Organization
VENUS SURGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILLIE BEHERA MD (MEDICAL DIRECTOR)
(480) 434-6565
Entity
Organization
Contact information
Practice address
8415 N PIMA RD STE 292, SCOTTSDALE, AZ 85258-4488
(480) 291-8978
(480) 434-6572
Mailing address
8415 N PIMA RD STE 292, SCOTTSDALE, AZ 85258-4488
(480) 291-8978
(480) 434-6572
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OSC9714
—
AZ
Enumeration date
09/18/2019
Last updated
11/27/2019
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