NPI 1174182596
Surgepay LLC
Practice location
- Address
- 9500 E Ironwood Square Dr STE 110, Scottsdale, AZ 85258-4582
- Phone
- (928) 600-6762
- Mailing address
- 2526 W Rancho Laredo Dr, Phoenix, AZ 85085-7168
Authorised official
- Name
- Gabriel L. Bonilla
- Title
- Medical Director
- Phone
- (928) 600-6762
Registered specialties
Interventional Pain Medicine Physician
Primary
Registry record
- NPI
- 1174182596
- Entity type
- Organization
- NPI issued
- 10 Jun 2019
- Record last updated
- 10 Jun 2019
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.