Organization
SCOTTSDALE SPINE ASC LLC
Active
Other names
Old Town Scottsdale Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAY D MCKIM (CFO)
(949) 690-7604
Entity
Organization
Contact information
Practice address
7242 E OSBORN RD STE 300, SCOTTSDALE, AZ 85251-6494
(480) 812-5313
Mailing address
7242 E OSBORN RD STE 300, SCOTTSDALE, AZ 85251-6494
(480) 812-5313
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
12/28/2023
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