Surgicare Sheridan Surgical Services

NPI 1144275025 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1144275025
Enumeration Date 05/22/2006
Last Updated 02/06/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name VALERIE L VALERIE
Position OFFICE OWNER
Phone (480) 354-7478
Fax (480) 354-7480
Practice Location
3035 S ELLSWORTH RD
SUITE 104
MESA AZ, 85212-2160, US
Phone (480) 354-7478
Fax (480) 354-7480
Business Location
PO BOX 51058
MESA AZ, 85208-0053, US
Phone (866) 692-0362
Fax (480) 354-7480
Toxanomy
Taxonomy Code 305R00000X
License State Arizona
License Number 3977
Remove 1144275025 NPI Number
 

According to our database, Surgicare Sheridan Surgical Services NPI is 1144275025, taxonomy code is 305R00000X and license number is 3977, license state is located at Arizona. Surgicare Sheridan Surgical Services physically located at 3035 S Ellsworth Rd, Mesa AZ, 85212-2160. NPI Number 1033115704 has the healthcare provider type.

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1144275025 NPI number is provided on an as is basis without warranty of any kind. 1144275025 is maintained by the National Plan & Provider Enumeration System. The contents of Surgicare Sheridan Surgical Services are for informational purposes only.