Organization
SURGICAL SPECIALTIES OF CASA GRANDE
Active
Other names
The Surgery Center of Casa Grande
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD-DEAN FRANK MARUCCI MD (MEDICAL DIRECTOR)
(520) 421-2300
Entity
Organization
Contact information
Practice address
1760 E FLORENCE BLVD, BLDG 2, CASA GRANDE, AZ 85222-4776
(520) 421-2300
(520) 421-2411
Mailing address
1760 E FLORENCE BLVD, BLDG 2, CASA GRANDE, AZ 85222-4776
(520) 421-2300
(520) 421-2411
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC-3188
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750697
—
AZ
Enumeration date
05/23/2005
Last updated
08/22/2020
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