SURGERY CENTER AT RIVER ROAD, LLC
Ambulatory Health in Tucson, AZ

License number
Arizona 0110903
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: GWENDOLYN S MAXWELL M.D.
Title: SHAREHOLDER
Phone: (520) 382-1084
Address
Address
2490 E. River Rd SUITE 150, Tucson, AZ 85718
National Provider ID: 1801825880
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SURGERY CENTER AT RIVER ROAD, LLC at bizstanding.com

SURGERY CENTER AT RIVER ROAD, LLC

Ste STE B, Tucson, AZ 85718

Registration:
Mar 16, 2006
State ID:
L-1270490-7
Expiration:
PERPETUAL
Member:
Gwen Maxwell (Member), Ste STE B, Tucson, AZ 85718 (Physical)
Agent:
Sara C Derrick,259 N Meyer Ave, Tucson, AZ 85701 (Physical)

Ambulatory Health licenses in Arizona










Other Doctors licenses in Arizona