R Derosa Surgery Llc

LBN: R Derosa Surgery Llc
R Derosa Surgery Llc is an health care organization with primary practice located at 18701 N 67Th Ave , Glendale AZ 85308-7100. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. R Derosa Surgery Llc can be contacted via phone (623) 561-1000, or through Derosa, Richard via phone (703) 975-9847.

Contact Information

Primary practice address
18701 N 67Th Ave Glendale AZ 85308-7100
Phone: (623) 561-1000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Derosa, Richard Doctor of Medicine (MD)
Phone: (703) 975-9847

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1871209494
LBN Legal business name R Derosa Surgery Llc
DBA Doing business as
Authorized official Derosa, Richard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2023
Last updated Jan 26th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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