Healthcare Provider Details

I. General information

NPI: 1497929525
Provider Name (Legal Business Name): ALLIED CENTER FOR SPECIAL SURGERY, SCOTTSDALE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2008
Last Update Date: 05/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9377 E BELL RD STE 201
SCOTTSDALE AZ
85260-1502
US

IV. Provider business mailing address

9377 E BELL RD STE 201
SCOTTSDALE AZ
85260-1502
US

V. Phone/Fax

Practice location:
  • Phone: 602-432-4661
  • Fax:
Mailing address:
  • Phone: 602-432-4661
  • 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: BETH HURLEY
Title or Position: ASC COORINATOR
Credential: RN
Phone: 602-432-4661