NPI 1003083551

Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm

Organisation Ambulatory Surgical Clinic/Center Phoenix, AZ

Practice location

Address: 4212 North 16th Street Phoenix Indian Medical Center Ambulatory Surgical Cent, Phoenix, AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 263-1618
Mailing address: Pimc Asc Pobox 95460, Cleveland, OH 44193-0001

Authorised official

Name: Laura a Tillman
Title: Cmo
Phone: (602) 263-1674

Registered specialties

Ambulatory Surgical Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QA1903X

Other Clinic/Center providers in Arizona →

Registry record

NPI: 1003083551
Entity type: Organization
NPI issued: 14 May 2008
Record last updated: 26 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.