Organization · Type 2 NPI

Banner Enticare Tempe Surgery Center LLC

Ambulatory Surgical Clinic/Center · Tempe, AZ

NPI number 1437615929 Active

Practice location

1940 E Southern Ave
Tempe, AZ 85282-7518

Call (480) 820-7101 Map

Mailing address

2355 E Camelback Rd Ste 700
Phoenix, AZ 85016-9044

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

Physicians Surgery Center of Tempe, LLCAmbulatory Surgical Clinic/Center Tempe, AZ NPI 1699777540

Other ambulatory surgical clinic/center providers in Tempe

See all in Tempe →

NPI record

NPI: 1437615929
Entity type: Organization (Type 2)
Issued: Feb 20, 2019
Last updated: Feb 11, 2020
Status: Active

Other names

<unavail>
Banner Tempe Surgery Center · doing business as
Banner Tempe Surgery Center · doing business as

Authorized official

Dr. Homan Mostafavi, DO
Manager-Member
(248) 229-6188

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1437615929

Banner Enticare Tempe Surgery Center LLC's National Provider Identifier is 1437615929, issued on Feb 20, 2019. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Tempe, AZ. The record was last updated on Feb 11, 2020.