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Organization

ADVANCED SURGERY CENTER OF ARIZONA, LLP

Active
Other names
Advanced Surgery Center of Arizona
Organization subpart
No

Provider details

NPI number
Authorized official
AMBER DATTILO (ADMINISTRATOR)
(480) 666-9329
Entity
Organization

Contact information

Practice address
10255 N 32ND ST STE A, PHOENIX, AZ 85028-3822
(480) 666-9329
(480) 616-2963
Mailing address
10255 N 32ND ST STE A, PHOENIX, AZ 85028-3822
(480) 666-9329
(480) 616-2963

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AZ
261QS0132X
Ophthalmologic Surgery Clinic/Center

Other

Enumeration date
02/19/2015
Last updated
05/15/2025
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