NPI 1003388760
Elite Surgical Center, LLC
Practice location
- Address
- 4540 E Baseline Rd STE 117, Mesa, AZ 85206-4617
- Phone
- (480) 622-4158
- Mailing address
- 15333 N Pima Rd STE 305, Scottsdale, AZ 85260-2717
Authorised official
- Name
- Grant Cook
- Title
- Manager
- Phone
- (214) 295-6703
Registered specialties
Ambulatory Surgical Clinic/Center
Primary
Registry record
- NPI
- 1003388760
- Entity type
- Organization
- NPI issued
- 19 Dec 2018
- Record last updated
- 21 Apr 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.