Organization
TRUSTED CARE EAST VALLEY AZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE DESTEFANO (MANAGER)
(602) 715-1654
Entity
Organization
Contact information
Practice address
1114 S HIGLEY ROAD STE 101, MESA, AZ 85206
(602) 715-1654
Mailing address
20950 N TATUM BLVD STE 170, PHOENIX, AZ 85050-4272
(480) 499-5878
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
07/21/2022
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