Organization
ADVANCED AMBULATORY SURGERY CENTER ONE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LEE MUSSMAN (OWNER)
(623) 251-6431
Entity
Organization
Contact information
Practice address
14753 W MOUNTAIN VIEW BLVD, SURPRISE, AZ 85374
(623) 243-9077
Mailing address
14753 W MOUNTAIN VIEW BLVD, SURPRISE, AZ 85374
(623) 243-9077
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/02/2025
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