Basic Information
| Provider Information | |||||||||
| NPI: | 1053834358 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PHYSICIANS UNITED SURGERY CENTER, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3317 SOUTH HIGELY ROAD | ||||||||
| Address2: | STE 114, PMB 298 | ||||||||
| City: | CHANDLER | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852971750 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4806596240 | ||||||||
| FaxNumber: | 4804521464 | ||||||||
| Practice Location | |||||||||
| Address1: | 1475 W CHANDLER BLVD | ||||||||
| Address2: | |||||||||
| City: | CHANDLER | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852246257 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6024817369 | ||||||||
| FaxNumber: | 4804521464 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2017 | ||||||||
| LastUpdateDate: | 04/07/2020 | ||||||||
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| AuthorizedOfficialLastName: | BECKER | ||||||||
| AuthorizedOfficialFirstName: | CHRISTINA | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 6024817369 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | RN | ||||||||
| NPICertificationDate: | 04/07/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA1903X | Y | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |
No ID Information.