Provider Demographics
NPI:1255869921
Name:SCOTTSDALE SURGICAL SOLUTIONS PC
Entity Type:Organization
Organization Name:SCOTTSDALE SURGICAL SOLUTIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:623-399-9280
Mailing Address - Street 1:3501 N SCOTTSDALE RD STE 140
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5649
Mailing Address - Country:US
Mailing Address - Phone:480-772-2453
Mailing Address - Fax:480-774-3255
Practice Address - Street 1:3501 N SCOTTSDALE RD STE 140
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5649
Practice Address - Country:US
Practice Address - Phone:480-772-2453
Practice Address - Fax:480-774-3255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty