Organization
BSC CASA GRANDE LLC
Active
Other names
Banner Surgery Center - Casa Grande
Organization subpart
No
Provider details
NPI number
Authorized official
ARIC BURKE (OFFICER/DIRECTOR)
(480) 689-8403
Entity
Organization
Contact information
Practice address
1653 E MCMURRAY BLVD STE 141, CASA GRANDE, AZ 85122-5934
(520) 233-6502
Mailing address
2355 E CAMELBACK RD STE 700, PHOENIX, AZ 85016-9044
(602) 358-8512
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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