Organization
SCIACCA ASC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT OENNING (ADMINISTRATOR)
(602) 429-0404
Entity
Organization
Contact information
Practice address
8994 E DESERT COVE AVE, SCOTTSDALE, AZ 85260-7901
(602) 429-0404
Mailing address
4400 N SCOTTSDALE RD STE 9, #844, SCOTTSDALE, AZ 85251-3331
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/10/2020
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