Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Desert Ridge Outpatient Surgery LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1992713176

Desert Ridge Outpatient Surgery LLC is an Ambulatory Surgical Clinic/Center in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20940 N Tatum Blvd Ste 100
Phoenix, AZ 85050
Phone: (480) 502-4000
Fax: (480) 502-4050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence OSC4133 (AZ)

Record details

NPI number1992713176
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Boon — Officer / Authorized Official · (480) 567-0269
NPI enumeratedAugust 4, 2006
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024
Mailing address20940 N Tatum Blvd, Ste 100, Phoenix, AZ 85050-4265

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