| NPI | 1699548438 |
|---|---|
| Doing Business As | OLD TOWN SCOTTSDALE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JAY D MCKIM CFO 949-690-7604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-12-28 |