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NPI Code Detail

MEDICARE: INTEGRASURGICAL AMBULATORY CENTERS OF ARIZONA

MEDICARE: INTEGRASURGICAL AMBULATORY CENTERS OF ARIZONA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1154777647
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRASURGICAL AMBULATORY CENTERS OF ARIZONA
Provider Business Mailing Address
First Line : 6859 E REMBRANDT AVE
Second Line : SUITE 114
City : MESA
State : AZ
Zip : 85212-3628
Country : US
Telephone Number : 602-362-0922
Fax Number :
Provider Business Practice Location Address
First Line : 6859 E REMBRANDT AVE
Second Line : SUITE 114
City : MESA
State : AZ
Zip : 85212-3628
Country : US
Telephone Number : 602-362-0922
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. SNEHAL BHOOLA
Credential : MD
Telephone Number : 602-362-0922
Provider Enumeration Date : 05/13/2016
Last Update Date : 04/23/2019

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Directions to “INTEGRASURGICAL AMBULATORY CENTERS OF ARIZONA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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