Healthcare Provider Details

I. General information

NPI: 1033948997
Provider Name (Legal Business Name): TRUE PRECISION MEDICAL SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2024
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5133 N CENTRAL AVE STE 200
PHOENIX AZ
85012-1438
US

IV. Provider business mailing address

2222 W PINNACLE PEAK RD STE 260
PHOENIX AZ
85027-1224
US

V. Phone/Fax

Practice location:
  • Phone: 480-626-1746
  • Fax:
Mailing address:
  • Phone: 480-626-1746
  • Fax: 480-626-2690

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: MATT PEREZ
Title or Position: OWNER
Credential:
Phone: 480-626-1746