Organization
UNION HILLS SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS DAHLEN (SYSTEM MANAGER)
(602) 747-4577
Entity
Organization
Contact information
Practice address
18301 N 79TH AVE STE E150, GLENDALE, AZ 85308-6045
(623) 487-7500
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC 3777
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
988420
—
AZ
Enumeration date
06/19/2006
Last updated
08/22/2020
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