Organization
OLIVE SURGICAL CARE, LLC
Active
Other names
Desert Vista Surgery Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AARON LATOWSKY MD (MEDICAL DIRECTOR)
(623) 547-5420
Entity
Organization
Contact information
Practice address
8914 N 91ST AVE, SUITE 100-A, PEORIA, AZ 85345-8396
(623) 547-5420
(623) 594-8936
Mailing address
8914 N 91ST AVE, SUITE 100-A, PEORIA, AZ 85345-8396
(623) 547-5420
(623) 594-8936
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC5845
AZ
Other
Enumeration date
02/14/2014
Last updated
04/02/2015
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