Provider Demographics
NPI:1053834358
Name:PHYSICIANS UNITED SURGERY CENTER, LLC
Entity type:Organization
Organization Name:PHYSICIANS UNITED SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:602-481-7369
Mailing Address - Street 1:3317 SOUTH HIGELY ROAD
Mailing Address - Street 2:STE 114, PMB 298
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-1750
Mailing Address - Country:US
Mailing Address - Phone:480-659-6240
Mailing Address - Fax:480-452-1464
Practice Address - Street 1:1475 W CHANDLER BLVD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6257
Practice Address - Country:US
Practice Address - Phone:602-481-7369
Practice Address - Fax:480-452-1464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-19
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical