Organization
SOUTHWEST ENDOSCOPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC BOON (AUTHORIZED OFFICIAL)
(480) 289-5266
Entity
Organization
Contact information
Practice address
2223 E BASELINE RD STE B, GILBERT, AZ 85234-2336
(480) 289-5266
(480) 289-5271
Mailing address
2223 E BASELINE RD STE B, GILBERT, AZ 85234-2336
(480) 289-5266
(480) 289-5271
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
01/14/2025
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