Organization
DESERT OASIS SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT COOK (MANAGER)
(480) 263-0597
Entity
Organization
Contact information
Practice address
10117 N 92ND ST STE 103, SCOTTSDALE, AZ 85258-4555
(480) 263-0597
Mailing address
15333 N PIMA RD STE 305, SCOTTSDALE, AZ 85260-2717
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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