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Organization
MERCY FACILITY LLC
Active
Organization
MERCY FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHALLEN WAYCHOFF (COO/MANAGER)
(480) 634-6400
Entity
Organization
Contact information
Practice address
3367 S MERCY RD STE 203, GILBERT, AZ 85297-7604
(480) 634-6400
(480) 404-9649
Mailing address
3724 N 3RD ST STE 301, PHOENIX, AZ 85012-2035
(480) 634-6400
(480) 404-9649
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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