MEDICARE: COMPASSIONATE SURGICAL ASSOCIATES, PLLC

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
1	174400000X	Specialist

General Provider Information

NPI Number	:	1285090233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE SURGICAL ASSOCIATES, PLLC

Provider Business Mailing Address
First Line	:	6025 N 27TH AVE
Second Line	:	SUITE # 5
City	:	PHOENIX
State	:	AZ
Zip	:	85017-1763
Country	:	US
Telephone Number	:	602-841-8273
Fax Number	:	602-841-8773

Provider Business Practice Location Address
First Line	:	6025 N 27TH AVE
Second Line	:	SUITE # 5
City	:	PHOENIX
State	:	AZ
Zip	:	85017-1763
Country	:	US
Telephone Number	:	602-841-8273
Fax Number	:	602-841-8773

Authorized Official
Title or Position	:	CEO
Name	:	ANTHONY GALITSKY
Credential	:	MD
Telephone Number	:	602-550-3249

Provider Enumeration Date	:	01/06/2016
Last Update Date	:	02/19/2016

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