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1871209494
R DEROSA SURGERY LLC
GLENDALE, AZ
NPI
1871209494
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Entity Type
Organization
Authorized Contact
RICHARD DEROSA
Owner
703-975-9847
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2023-01-26
Last Update Date
2023-01-26
Business Address
R DEROSA SURGERY LLC
18701 N 67TH AVE
GLENDALE, AZ 85308-7100
Phone number: 623-561-1000
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Mailing Address
R DEROSA SURGERY LLC
6225 E DUSTY COYOTE CIR
SCOTTSDALE, AZ 85266-7201
Phone number: 703-975-9847
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