Healthcare Provider Details

I. General information

NPI: 1487276952
Provider Name (Legal Business Name): ARROWHEAD NORTH SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2020
Last Update Date: 05/07/2020
Certification Date: 05/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16390 N 59TH AVE STE 100
GLENDALE AZ
85306-1711
US

IV. Provider business mailing address

13430 N SCOTTSDALE RD STE 200
SCOTTSDALE AZ
85254-4058
US

V. Phone/Fax

Practice location:
  • Phone: 623-298-1820
  • Fax: 602-595-0968
Mailing address:
  • Phone: 623-334-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID F BERG
Title or Position: OWNDER
Credential: DC
Phone: 623-334-4000