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Organization
AKDHC SURGERY CENTER, LLC
Active
Organization
AKDHC SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ADONIS ESCOBEDO (CREDENTIALING MANAGER)
(602) 759-6883
Entity
Organization
Contact information
Practice address
6622 N 91ST AVENUE, SUITE 100, GLENDALE, AZ 85305
(602) 547-4668
(623) 535-7869
Mailing address
3333 E CAMELBACK RD STE 180, PHOENIX, AZ 85018-2396
(602) 759-6883
(602) 224-3315
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
AZ
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
AZ
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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