Provider Demographics
NPI:1912576323
Name:EXCLUSIVE SURGERIES NETWORK, LLC
Entity Type:Organization
Organization Name:EXCLUSIVE SURGERIES NETWORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-378-2583
Mailing Address - Street 1:8671 W UNION HILLS DR STE 503
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-7005
Mailing Address - Country:US
Mailing Address - Phone:833-378-2583
Mailing Address - Fax:623-321-1095
Practice Address - Street 1:8671 W UNION HILLS DR STE 503
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-7005
Practice Address - Country:US
Practice Address - Phone:833-378-2583
Practice Address - Fax:623-321-1095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center