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Organization

PHOENIX ORTHOPAEDIC AMBULATORY CENTER, LLC

Active
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Organization

PHOENIX ORTHOPAEDIC AMBULATORY CENTER, LLC

Active
Other names
Gateway Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization

Contact information

Practice address
690 N COFCO CENTER CT, SUITE 150, PHOENIX, AZ 85008-6462
(602) 288-4441
(602) 288-4480
Mailing address
690 N COFCO CENTER CT, SUITE 150, PHOENIX, AZ 85008-6462
(602) 288-4441
(602) 288-4480

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC3177
AZ

Other

Enumeration date
08/17/2005
Last updated
04/27/2021
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