Organization
AKDHC SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADONIS ESCOBEDO (CREDENTIALING MANAGER)
(602) 759-6883
Entity
Organization
Contact information
Practice address
3333 E CAMELBACK RD STE 180, PHOENIX, AZ 85018-2396
(602) 997-1098
(602) 943-1453
Mailing address
3333 E CAMELBACK RD, SUITE 180, PHOENIX, AZ 85018-2322
(602) 997-0484
(602) 224-3315
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
AZ
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
537574
—
AZ
Enumeration date
04/24/2007
Last updated
07/21/2022
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