Provider Demographics
NPI:1174307961
Name:ARIZONA SURGICAL SPECIALISTS CENTER, LLC
Entity type:Organization
Organization Name:ARIZONA SURGICAL SPECIALISTS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIWEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-516-8252
Mailing Address - Street 1:9401 W THUNDERBIRD RD STE 180
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4210
Mailing Address - Country:US
Mailing Address - Phone:623-516-8252
Mailing Address - Fax:623-516-8253
Practice Address - Street 1:6442 E SPEEDWAY BLVD STE 152
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-0013
Practice Address - Country:US
Practice Address - Phone:520-525-5491
Practice Address - Fax:623-691-8498
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARIZONA SURGICAL SPECIALISTS CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-22
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical