NPI: 1942624622
Provider Name: OLIVE SURGICAL CARE, LLC
Doing Business As: DESERT VISTA SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization
Specialization: Ambulatory Surgical
Address:
8914 N 91ST AVE
SUITE 100-A
PEORIA, AZ
ZIP 85345
Phone: (623) 547-5420
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OLIVE SURGICAL CARE, LLC is an ambulatory surgical clinic center in Peoria, AZ. OLIVE SURGICAL CARE, LLC NPI is 1942624622. The provider is registered as an organization entity type.
The provider Is Doing Business As Desert Vista Surgery Center, Llc.
The provider's business location address is:
8914 N 91ST AVE
SUITE 100-A
PEORIA, AZ
ZIP 85345-396
Phone: (623) 547-5420
Fax: (623) 594-8936
The provider's authorized official is Aaron Latowsky .
The authorized official title is Medical Director and has the following contact phone number (623) 547-5420.
The enumeration date for this NPI number is 2/14/2014 and was last updated on 4/2/2015.