Organization
SURGITECH CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD P JACOBY DPM (OWNER)
(480) 994-5977
Entity
Organization
Contact information
Practice address
7301 E 2ND ST STE 202, SCOTTSDALE, AZ 85251-5610
(480) 994-5977
(480) 990-9397
Mailing address
7301 E 2ND ST STE 202, SCOTTSDALE, AZ 85251-5610
(480) 994-5977
(480) 990-9397
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000A
CIGNA HEALTH CARE
AZ
01
—
201582300
US DEPT OF LABOR
AZ
Enumeration date
08/01/2007
Last updated
04/10/2009
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