Organization
ARIZONA SURGICAL ASSOCIATES
Active
Other names
Arizona Surgical Aossicates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J ORRIS D.O (OWNER)
(480) 829-6100
Entity
Organization
Contact information
Practice address
1855 E SOUTHERN AVE, TEMPE, AZ 85282-5894
(480) 829-6100
(480) 245-6337
Mailing address
1855 E SOUTHERN AVE, TEMPE, AZ 85282-5894
(480) 829-6100
(480) 245-6337
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4275
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044930
—
AZ
01
—
2Z2488
HEALTH OF AZ
AZ
01
—
AZ0786380
BLUE CROSS AND BLUE SHIELD OF ARIZONA
AZ
Enumeration date
12/30/2013
Last updated
12/30/2013
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