DAISY MOUNTAIN SURGICAL ASSOCIATES PLLC
Radiology at Anthem Way, Phoenix, AZ

License number
Arizona 3567
Category
Radiology
Type
Surgery
Owner
Name: DR. JONATHAN COOPER BORJESON D.O.
Title: OWNER
Phone: (623) 551-3280
Address
Address
3654 W Anthem Way SUITE B102, Phoenix, AZ 85086
National Provider ID: 1952441008
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DAISY MOUNTAIN SURGICAL ASSOCIATES, PLLC

3434 W Anthem Way STE 118-464, Phoenix, AZ 85086

Registration:
Jul 27, 2006
State ID:
P-1300932-5
Expiration:
Perpetual
Member:
Jonathan Borjesora (Member), Ste 118-46 STE 118-464, Phoenix, AZ 85086 (Physical)
Agent:
Samuel T Crump Sr,42104 N Venture Dr STE D126, Phoenix, AZ 85086 (Physical)

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