# AKDHC SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013403161
- **Authorized official:** MS. ADONIS ESCOBEDO (CREDENTIALING MANAGER)
- **Authorized official phone:** (602) 759-6883

## Contact information

- **Practice address:** 2771 SILVER CREEK RD STE 100, BULLHEAD CITY, AZ 86442-7959
- **Practice address phone:** (928) 763-7722
- **Practice address fax:** (928) 763-7744
- **Mailing address:** 6622 N 91ST AVE STE 220, GLENDALE, AZ 85305-2569
- **Mailing address phone:** (602) 759-6883
- **Mailing address fax:** (602) 224-3358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RN0300X | Nephrology Physician | — | AZ | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | AZ | Yes |

## Other

- **Enumeration date:** 07/02/2018
- **Last updated:** 07/02/2018