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Organization
YUMA AZ ENDOSCOPY ASC LLC
Active
Organization
YUMA AZ ENDOSCOPY ASC LLC
Active
Other names
Endoscopy Center of Yuma
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP A CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
1030 W 24TH ST, SUITE 1, YUMA, AZ 85364-8384
(928) 343-1717
(928) 343-1011
Mailing address
1030 W 24TH ST, SUITE 1, YUMA, AZ 85364-8384
(928) 343-1717
(928) 343-1011
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC 3889
AZ
Other
Enumeration date
02/21/2006
Last updated
09/07/2023
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