SURGERY CENTER OF SCOTTSDALE LLC NPI 1902807159

NPI Information

SURGERY CENTER OF SCOTTSDALE, LLC is an ambulatory surgical clinic center in Scottsdale, AZ. SURGERY CENTER OF SCOTTSDALE, LLC NPI is 1902807159. The provider is registered as an organization entity type.
The provider Other Name Is Mountain View Surgery Center Of Scottsdale.

The provider's business location address is:

8962 E DESERT COVE AVE
SCOTTSDALE, AZ
ZIP 85260-984
Phone: (480) 661-5232
Fax: (480) 661-5231

The provider's authorized official is Eric Boon .
The authorized official title is Authorized Official and has the following contact phone number (480) 567-0269.

The CLIA number assigned to this NPI record is 03D0989619 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 10/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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