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 |