Organization
DAISY MOUNTAIN SURGICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN COOPER BORJESON D.O. (OWNER)
(623) 551-3280
Entity
Organization
Contact information
Practice address
3654 W ANTHEM WAY, SUITE B102, ANTHEM, AZ 85086-0455
(623) 551-3280
(623) 551-3180
Mailing address
3434 W ANTHEM WAY, SUITE 118-464, ANTHEM, AZ 85086-0448
(623) 551-3280
(623) 551-3180
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3567
AZ
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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