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Organization
CANYON AMBULATORY SURGERY CENTER, LLC
Active
Organization
CANYON AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIALS)
(615) 234-5954
Entity
Organization
Contact information
Practice address
6036 N 19TH AVE, SUITE 100, PHOENIX, AZ 85015-2106
(602) 589-8000
(602) 249-8084
Mailing address
6036 N 19TH AVE, SUITE 100, PHOENIX, AZ 85015-2106
(602) 589-8000
(602) 249-8084
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC2285
AZ
Other
Enumeration date
10/17/2006
Last updated
02/12/2023
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