STATE LINE SURGICAL SERVICES, LLC

MOUNTAIN HOME, AR
NPI1003050444
Entity TypeOrganization
Authorized ContactLACEY DINH
Revenue Cycle Manager Of Abs
520-258-0326
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2009-04-29
Last Update Date2015-12-16
Business Address
STATE LINE SURGICAL SERVICES, LLC
1310 EASTSIDE CENTRE CT # 6-142
MOUNTAIN HOME, AR 72653-2705
Phone number: 520-323-8732
Mailing Address
STATE LINE SURGICAL SERVICES, LLC
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710-1147
Phone number: 520-323-8732
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