# GYNESURGICAL, LLC

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

## Provider details

- **NPI number:** 1487888426
- **Authorized official:** KELLY H. ROY M.D. (PROPRIETOR)
- **Authorized official phone:** (602) 264-6369

## Contact information

- **Practice address:** 1008 E MCDOWELL RD \# B, PHOENIX, AZ 85006-2603
- **Practice address phone:** (602) 264-6369
- **Practice address fax:** (602) 264-6372
- **Mailing address:** 1008 E MCDOWELL RD \# B, PHOENIX, AZ 85006-2603
- **Mailing address phone:** (602) 773-2417
- **Mailing address fax:** (602) 241-1859

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2009
- **Last updated:** 01/19/2024