SCOTTSDALE OUTPATIENT SURGERY GROUP LLC NPI 1306577457

NPI Information

NPI: 1306577457
Provider Name: SCOTTSDALE OUTPATIENT SURGERY GROUP, LLC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

CLIA Number: 03D2260191

Address:
8994 E DESERT COVE AVE STE B
SCOTTSDALE, AZ
ZIP 85260
Phone: (480) 551-2040
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SCOTTSDALE OUTPATIENT SURGERY GROUP, LLC is a plastic and reconstructive surgery surgery in Scottsdale, AZ. The provider is a surgeon who specializes in plastic and reconstructive surgery. SCOTTSDALE OUTPATIENT SURGERY GROUP, LLC NPI is 1306577457. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8994 E DESERT COVE AVE STE B
SCOTTSDALE, AZ
ZIP 85260-901
Phone: (480) 551-2040

The provider's authorized official is Marcel Malek .
The authorized official title is Medical Director/sole Member and has the following contact phone number (480) 551-2040.

The CLIA number assigned to this NPI record is 03D2260191 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2022 and was last updated on 6/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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