# CIGNA HEALTHCARE OF ARIZONA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CMG OUTPATIENT SURGERY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265536270
- **Authorized official:** JAMES H. BURRELL III MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (602) 271-5426

## Contact information

- **Practice address:** 755 E MCDOWELL RD, PHOENIX, AZ 85006-2506
- **Practice address phone:** (602) 271-3020
- **Practice address fax:** (602) 271-5394
- **Mailing address:** 25500 N NORTERRA DR, ATTN HCFS SUPPORT CENTER, PHOENIX, AZ 85085-8200
- **Mailing address phone:** (623) 277-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | OSC 0012 | AZ | Yes |

## Other

- **Enumeration date:** 09/11/2006
- **Last updated:** 05/10/2012