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Organization

AHWATUKEE SURGERY CENTER, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TODD FARNWORTH M.D. (PRESIDENT)
(480) 759-1554
Entity
Organization

Contact information

Practice address
15810 S 45TH ST STE 150, PHOENIX, AZ 85048-7655
(480) 759-1554
Mailing address
15810 S 45TH ST STE 150, PHOENIX, AZ 85048-7655

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
11/14/2007
Last updated
04/10/2008
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