# AKDHC SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1316464159
- **Authorized official:** MISS ADONIS ESCOBEDO (CREDENTIALING MANAGER)
- **Authorized official phone:** (602) 759-6883

## Contact information

- **Practice address:** 2580 HIGHWAY 95 STE 224, BULLHEAD CITY, AZ 86442-7332
- **Practice address phone:** (928) 704-7011
- **Practice address fax:** (928) 704-7014
- **Mailing address:** 3333 E CAMELBACK RD STE 180, PHOENIX, AZ 85018-2396
- **Mailing address phone:** (602) 759-6883
- **Mailing address fax:** (602) 224-3315

## Taxonomy

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

## Other

- **Enumeration date:** 08/23/2017
- **Last updated:** 08/23/2017