Organization
BARNET DULANEY SURGERY CENTER FLAGSTAFF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD SNYDER (CFO)
(602) 955-1000
Entity
Organization
Contact information
Practice address
350 N SWITZER CANYON DR, FLAGSTAFF, AZ 86001-4826
(602) 955-1000
(602) 508-4830
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
03C0001200
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699702068
RAILROAD MEDICARE
AZ
Enumeration date
06/28/2006
Last updated
11/07/2013
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