Organization
EL DORADO SURGERY CENTER LP
Active
Other names
Tucson Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MUSIC (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7377
Entity
Organization
Contact information
Practice address
7140 E ROSEWOOD ST, TUCSON, AZ 85710-1346
(520) 877-4254
(877) 319-4035
Mailing address
PO BOX 848236, DALLAS, TX 75284-8236
(520) 877-4254
(877) 319-4035
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098866
—
AZ
01
—
OSC10853
STATE LICENSE
AZ
Enumeration date
09/06/2019
Last updated
02/21/2024
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