| NPI | 1588294854 |
|---|---|
| Doing Business As | PROVIDENCE SURGERY CENTER, PACIFIC CAMPUS |
| Entity Type | Organization |
| Authorized Contact | ERIC BOON Market President 480-567-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2023-08-23 |