Organization
ASAP SURGERY CENTERS NORTH VALLEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARRETT LEATHEM MD (OWNER, AUTHORIZED AGENT)
(480) 573-0130
Entity
Organization
Contact information
Practice address
2525 W GREENWAY RD STE 100, PHOENIX, AZ 85023-4280
(480) 573-0213
Mailing address
2525 W GREENWAY RD STE 100, PHOENIX, AZ 85023-4280
(480) 573-0213
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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