Organization
OLIVE SURGICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENA HACKWORTH (CLINICAL DIRECTOR)
(623) 877-0900
Entity
Organization
Contact information
Practice address
8914 N 91ST AVE, SUITE 120, PEORIA, AZ 85345-8390
(623) 877-0900
(623) 298-1526
Mailing address
8914 N 91ST AVE, PEORIA, AZ 85345-8390
(623) 877-0900
(623) 298-1526
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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