Organization
CIGNA HEALTH CARE OF ARIZONA INC
Active
Other names
EVERNORTH Care Outpatient Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ELLIS D.O. (CHIEF MEDIAL DIRECTOR)
(623) 277-2246
Entity
Organization
Contact information
Practice address
3003 N 3RD ST, PHOENIX, AZ 85012-3031
(602) 282-9800
Mailing address
8888 E RAINTREE DR FL 3, SCOTTSDALE, AZ 85260-3951
(602) 328-8400
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
08/31/2006
Last updated
06/16/2023
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