Organization
OSBORN AMBULATORY SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS E DAHLEN (SR VICE PRESIDENT FINANCE)
(602) 747-4000
Entity
Organization
Contact information
Practice address
3330 N 2ND ST STE 300, PHOENIX, AZ 85012-2369
(602) 265-0113
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC 3778
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
950198
—
AZ
Enumeration date
06/19/2006
Last updated
08/22/2020
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