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Organization
CIGNA HEALTHCARE OF ARIZONA, INC.
Active
Organization
CIGNA HEALTHCARE OF ARIZONA, INC.
Active
Other names
Gilbert Out Patient Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ELLIS D.O (CHIEF MEDICAL DIRECTOR)
(623) 277-2246
Entity
Organization
Contact information
Practice address
4001 E BASELINE RD, SUITE 102, GILBERT, AZ 85234-2726
(480) 632-4060
(480) 632-4092
Mailing address
25500 N NORTERRA DR, ATTN: HCFS, PHOENIX, AZ 85085-8200
(602) 328-8400
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC 3662
AZ
Other
Enumeration date
08/18/2006
Last updated
01/28/2014
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