Organization
BODYSCULPTING OUTPATIENT SURGERY CENTER, LLC
Active
Organization
BODYSCULPTING OUTPATIENT SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHAN PHILPOTT M.D. (MEDICAL DIRECTOR)
(480) 464-8000
Entity
Organization
Contact information
Practice address
2255 N SCOTTSDALE ROAD, SCOTTSDALE, AZ 85257
(480) 464-8000
(480) 990-2556
Mailing address
2255 N SCOTTSDALE ROAD, SCOTTSDALE, AZ 85257
(480) 464-8000
(480) 990-2556
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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