Organization
FOREST CANYON ENDOSCOPY & SURGERY CTR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA K FORDYCE (DIRECTOR)
(928) 774-3044
Entity
Organization
Contact information
Practice address
560 N SWITZER CANYON DR, FLAGSTAFF, AZ 86001-4844
(928) 774-3044
(928) 774-7107
Mailing address
560 N SWITZER CANYON DR, FLAGSTAFF, AZ 86001-4844
(928) 774-3044
(928) 774-7107
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC3471
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-C0001268
PROVIDER NUMBER
—
Enumeration date
08/25/2005
Last updated
07/31/2025
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