Organization · Type 2 NPI
Maryvale Surgery Center, LLC
Ambulatory Surgical Clinic/Center · Phoenix, AZ
NPI number
1104418771
Active
Practice location
7141 W Thomas Rd Ste 101
Phoenix, AZ 85033-5518
Mailing address
604 W Warner Rd Ste C2
Chandler, AZ 85225-2915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1104418771
Maryvale Surgery Center, LLC's National Provider Identifier is 1104418771, issued on Feb 5, 2021. 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 Feb 5, 2021.