Organization
BDPEC SHOW LOW ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD G SNYDER (CFO)
(602) 955-1000
Entity
Organization
Contact information
Practice address
1500 S WHITE MOUNTAIN RD, SUITE 300, SHOW LOW, AZ 85901-7111
(928) 537-3937
(928) 537-4729
Mailing address
4800 N 22ND ST, PHOENIX, AZ 85016-4701
(602) 955-1000
(602) 508-4830
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
AZ
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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