Organization
CIGNA HEALTHCARE OF ARIZONA, INC.
Active
Other names
CMG OUTPATIENT SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES H. BURRELL III MD (CHIEF MEDICAL OFFICER)
(602) 271-5426
Entity
Organization
Contact information
Practice address
755 E MCDOWELL RD, PHOENIX, AZ 85006-2506
(602) 271-3020
(602) 271-5394
Mailing address
25500 N NORTERRA DR, ATTN HCFS SUPPORT CENTER, PHOENIX, AZ 85085-8200
(623) 277-1000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC 0012
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
631730
—
AZ
Enumeration date
09/11/2006
Last updated
05/10/2012
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