Organization
PHYSICIANS SURGERY CENTER OF TEMPE, LLC
Active
Other names
Physicians Surgery Center of Tempe, Arizona Specialty Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER, AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
1940 E SOUTHERN AVE, TEMPE, AZ 85282
(480) 820-7101
(480) 820-9291
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(727) 633-8939
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC0043
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
459801
—
AZ
01
—
490004403
RAILROAD MEDICARE
AZ
Enumeration date
08/11/2005
Last updated
10/24/2024
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