NPI Code Details Logo

NPI 1518294990

NPI 1518294990 : DESERT SURGERY CENTER : SCOTTSDALE, AZ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1518294990
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    DESERT SURGERY CENTER 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/05/2009
-----------------------------------------------------
    Last Update Date     |    11/05/2009
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3300 N 75TH ST 
-----------------------------------------------------
    City                 |    SCOTTSDALE
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85251-6411
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    480-990-8808
-----------------------------------------------------
    Fax                  |    480-990-2240
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3300 N 75TH ST 
-----------------------------------------------------
    City                 |    SCOTTSDALE
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85251-6411
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    480-990-8808
-----------------------------------------------------
    Fax                  |    480-990-2240
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MEMBER
-----------------------------------------------------
    Name                 |    DR. JOHN  PIERCE 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    480-990-8808
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QA1903X
-----------------------------------------------------
    Taxonomy Name        |    Ambulatory Surgical Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.