Organization · Type 2 NPI

Desert Mirage Surgery Center, LLC

Ambulatory Surgical Clinic/Center · Surprise, AZ

NPI number 1881216372 Active

Practice location

12361 W Bola Dr Ste 112
Surprise, AZ 85378-9021

Mailing address

PO Box 41638
Phoenix, AZ 85080-1638

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

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

7 other providers at this address

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About NPI 1881216372

Desert Mirage Surgery Center, LLC's National Provider Identifier is 1881216372, issued on May 7, 2020. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Surprise, AZ. The record was last updated on May 7, 2020.