NPI: 1689110314
Provider Name: TRUSTED CARE SURGERY CENTERS LLC
Other Name: TRUSTED CARE NORTH VALLEY AZ, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization
Specialization: Ambulatory Surgical
CLIA Number: 03D2127531
Address:
20950 N TATUM BLVD
SUITE 170
PHOENIX, AZ
ZIP 85050
Phone: (602) 715-1654
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TRUSTED CARE SURGERY CENTERS LLC is an ambulatory surgical clinic center in Phoenix, AZ. TRUSTED CARE SURGERY CENTERS LLC NPI is 1689110314. The provider is registered as an organization entity type.
The provider Other Name Is Trusted Care North Valley Az, Llc.
The provider's business location address is:
20950 N TATUM BLVD
SUITE 170
PHOENIX, AZ
ZIP 85050-200
Phone: (602) 715-1654
Fax: (480) 800-8507
The provider's authorized official is Wayne Destefano .
The authorized official title is Owner and has the following contact phone number (602) 595-5027.
The CLIA number assigned to this NPI record is 03D2127531 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/19/2017 and was last updated on 1/31/2020.