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Organization
BANNER ARIZONA ASC LLC
Active
Organization
BANNER ARIZONA ASC LLC
Active
Other names
The Jon R. Hillegas Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP A CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
13640 N PLAZA DEL RIO BLVD, SUITE 135, PEORIA, AZ 85381-4846
(623) 876-3943
(623) 876-6946
Mailing address
13640 N PLAZA DEL RIO BLVD, SUITE 135, PEORIA, AZ 85381-4846
(623) 876-3943
(623) 876-6946
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC3316
AZ
Other
Enumeration date
02/13/2006
Last updated
09/07/2023
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