Organization · Type 2 NPI
Modern Ambulatory Surgery Center, PC
Ambulatory Surgical Clinic/Center · Mesa, AZ
NPI number
1982031936
Active
Practice location
4860 E Baseline Road, Suite 101
Mesa, AZ 85206-4670
Fax (602) 265-8151
Mailing address
1301 E Mcdowell Rd, Suite 100
Phoenix, AZ 85006-2621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1982031936
Modern Ambulatory Surgery Center, PC's National Provider Identifier is 1982031936, issued on Oct 7, 2013. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Mesa, AZ. The record was last updated on Oct 7, 2013.