Organization
PREMIER ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARRETT LEATHEM (DO, OWNER)
(480) 573-0130
Entity
Organization
Contact information
Practice address
2563 S VAL VISTA DR STE 101A, GILBERT, AZ 85295-6231
(480) 573-0213
(480) 573-0214
Mailing address
2525 W GREENWAY RD STE 300, PHOENIX, AZ 85023-4292
(480) 573-0213
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2010
Last updated
06/28/2022
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