Organization
SURGICAL & PAIN CENTER OF SCOTTSDALE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM FARNOUSH MD (ADMINISTRATOR)
(602) 882-3683
Entity
Organization
Contact information
Practice address
2629 N SCOTTSDALE RD STE 101, SCOTTSDALE, AZ 85257-1370
(480) 550-6493
(602) 297-6997
Mailing address
2629 N SCOTTSDALE RD STE 100, SCOTTSDALE, AZ 85257-1370
(602) 510-3203
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
08/12/2021
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