# SOUTHWEST ENDOSCOPY LLC

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

## Provider details

- **NPI number:** 1386277069
- **Authorized official:** MR. ERIC BOON (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 289-5266

## Contact information

- **Practice address:** 2223 E BASELINE RD STE B, GILBERT, AZ 85234-2336
- **Practice address phone:** (480) 289-5266
- **Practice address fax:** (480) 289-5271
- **Mailing address:** 2223 E BASELINE RD STE B, GILBERT, AZ 85234-2336
- **Mailing address phone:** (480) 289-5266
- **Mailing address fax:** (480) 289-5271

## Taxonomy

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

## Other

- **Enumeration date:** 02/20/2020
- **Last updated:** 01/14/2025