Organization
UPTOWN FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHALLEN WAYCHOFF (COO/MANAGER)
(760) 486-9634
Entity
Organization
Contact information
Practice address
3724 N 3RD ST, SUITE 302, PHOENIX, AZ 85012-2034
(602) 714-8185
(602) 714-8117
Mailing address
3724 N 3RD ST, SUITE 302, PHOENIX, AZ 85012-2034
(602) 714-8185
(602) 714-8117
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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