Organization
KHATALI AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID N CALKINS M.D. (MEDICAL DIRECTOR)
(480) 636-5634
Entity
Organization
Contact information
Practice address
10450 E RIGGS RD, SUITE 101, SUN LAKES, AZ 85248-7758
(480) 636-5634
Mailing address
10450 E RIGGS RD STE 101, SUN LAKES, AZ 85248-7759
(414) 258-9511
(414) 607-3948
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2008
Last updated
01/26/2011
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