Organization
SURGICAL ELITE OF AVONDALE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER/AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
10815 W MCDOWELL RD, SUITE 101, AVONDALE, AZ 85392
(623) 433-0110
(623) 433-0111
Mailing address
10815 W MCDOWELL RD, SUITE 101, AVONDALE, AZ 85392-5007
(623) 433-0110
(623) 433-0111
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OCS4020
AZ
Other
Enumeration date
08/04/2009
Last updated
01/16/2025
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