Organization · Type 2 NPI

Maryvale Facility Group LLC

Ambulatory Surgical Clinic/Center · Phoenix, AZ

NPI number 1053974592 Active

Practice location

7141 W Thomas Rd Ste 102
Phoenix, AZ 85033-5518

Call (480) 634-6400 Map

Fax (480) 404-9649

Mailing address

3724 N 3rd St Ste 301
Phoenix, AZ 85012-2035

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1053974592

Maryvale Facility Group LLC's National Provider Identifier is 1053974592, issued on Apr 19, 2019. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Phoenix, AZ. The record was last updated on May 3, 2019.