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Organization

EAST VALLEY ENDOSCOPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization

Contact information

Practice address
6020 E ARBOR AVE, SUITE 105, MESA, AZ 85206-6102
(480) 830-2005
(480) 830-2405
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 665-1283
(615) 234-1720

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC3368
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0020884
PHYSICIANHEALTHORGANIZATI
AZ
01
2047910
FIRST HEALTH NETWORK
AZ
01
5166126-001
CIGNA
AZ
01
5441198
CCN
AZ
01
68-03446
EVERCARE CHOICE
AZ
01
769862
AHCCCS
AZ
01
874634
USA/MCO
AZ
01
A-133702
MULTIPLAN
AZ
01
AZ0208590
BLUE CROSS BLUE SHEILD
AZ
01
IZ9438
HEALTHNET
AZ
Enumeration date
08/22/2005
Last updated
09/12/2022
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