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1508089624
59TH AVENUE SURGICAL FACILITY, LTD
GLENDALE, AZ
NPI
1508089624
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Entity Type
Organization
Authorized Contact
MARK RICHARD GORMAN
C.E.O.
623-934-3211
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2007-04-10
Last Update Date
2020-08-22
Business Address
59TH AVENUE SURGICAL FACILITY, LTD
8608 N 59TH AVE
GLENDALE, AZ 85302-5404
Phone number: 623-934-3211
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Mailing Address
59TH AVENUE SURGICAL FACILITY, LTD
8608 N 59TH AVE
GLENDALE, AZ 85302-5404
Phone number: 623-934-3211
Copy
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