Organization
CIGNA HEALTHCARE OF ARIZONA, INC.
Active
Other names
Gilbert Out Patient Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ELLIS D.O (CHIEF MEDICAL DIRECTOR)
(623) 277-2246
Entity
Organization
Contact information
Practice address
4001 E BASELINE RD, SUITE 102, GILBERT, AZ 85234-2726
(480) 632-4060
(480) 632-4092
Mailing address
25500 N NORTERRA DR, ATTN: HCFS, PHOENIX, AZ 85085-8200
(602) 328-8400
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC 3662
AZ
Other
Enumeration date
08/18/2006
Last updated
01/28/2014
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