Organization
NOVA NORTHWEST SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SELL (OWNER)
(310) 750-7858
Entity
Organization
Contact information
Practice address
7137 E RANCHO VISTA DR STE B25, SCOTTSDALE, AZ 85251-1782
(310) 750-7858
Mailing address
7137 E RANCHO VISTA DR STE B25, SCOTTSDALE, AZ 85251-1782
(310) 750-7858
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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