NPI 1144275025

Surgicare Sheridan Surgical Services

Organisation Preferred Provider Organization Mesa, AZ

Practice location

Address: 3035 S Ellsworth Rd Suite 104, Mesa, AZ 85212-2160
Phone: (480) 354-7478
Fax: (480) 354-7480
Mailing address: PO Box 51058, Mesa, AZ 85208-0053

Authorised official

Name: Valerie L Sheridan
Title: Office Owner
Phone: (866) 692-0362

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 3977 (AZ)

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Registry record

NPI: 1144275025
Entity type: Organization
NPI issued: 22 May 2006
Record last updated: 6 Feb 2008

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.