SURGERY CENTER OF SCOTTSDALE, LLC
Ambulatory Health at Peoria Ave, Phoenix, AZ

License number
Arizona OSC6563
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: JENETHA D MORAN
Title: OFFICER / AUTHORIZED OFFICIAL
Phone: (972) 763-3893
Address
Address
3131 W Peoria Ave, Phoenix, AZ 85029
National Provider ID: 1497165179
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SURGERY CENTER OF SCOTTSDALE, LLC

Scottsdale, AZ  -  Oklahoma City, OK  -  Phoenix, AZ

Doing business as:
SURGERY CENTERS OF AMERICA II, LLC
Registration:
Feb 3, 2000
Addresses:
8962 E Desert Cover Ave, Scottsdale, AZ 85260 (Physical)
120 N Robinson, Oklahoma City, OK 73102 (Foreign)
1850 N Cnetral Ave #1160, Phoenix, AZ 85004 (Physical)
State ID:
R-0938457-9
Agent:
Ct Corporation System,2390 E Camelback Rd, Phoenix, AZ 85016 (Physical)

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