Organization
NM SURGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW GLEASON (AUTHORIZED OFFICIAL)
(520) 547-4115
Entity
Organization
Contact information
Practice address
6339 E SPEEDWAY BLVD, SUITE 201, TUCSON, AZ 85710-1147
(520) 323-8732
(520) 547-1865
Mailing address
6339 E SPEEDWAY BLVD, SUITE 201, TUCSON, AZ 85710-1147
(520) 323-8732
(520) 547-1865
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QL0400X
Lithotripsy Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
09/10/2018
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