# BDPEC FLAGSTAFF ASC LLC

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

## Provider details

- **NPI number:** 1255645453
- **Authorized official:** DONALD G SNYDER (CFO)
- **Authorized official phone:** (602) 955-1000

## Contact information

- **Practice address:** 1030 N SAN FRANCISCO ST, SUITE 130, FLAGSTAFF, AZ 86001-3252
- **Practice address phone:** (928) 779-0500
- **Practice address fax:** (928) 779-6350
- **Mailing address:** 4800 N 22ND ST, PHOENIX, AZ 85016-4701
- **Mailing address phone:** (602) 955-1000
- **Mailing address fax:** (602) 508-4830

## Taxonomy

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

## Other

- **Enumeration date:** 07/29/2010
- **Last updated:** 07/29/2010