Organization
FACASURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER NIEMANN DPM (OWNER)
(480) 917-2300
Entity
Organization
Contact information
Practice address
1831 E QUEEN CREEK RD # 120, CHANDLER, AZ 85286-2019
(480) 200-8985
Mailing address
1831 E QUEEN CREEK RD, CHANDLER, AZ 85286-2019
(480) 200-8985
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/22/2018
Last updated
05/28/2021
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