Organization
SOUTHEAST VALLEY ENDOSCOPY CENTER,LLC
Active
Organization
SOUTHEAST VALLEY ENDOSCOPY CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES M SCHRON M.D. (PRESIDENT)
(480) 855-2036
Entity
Organization
Contact information
Practice address
875 S DOBSON RD, CHANDLER, AZ 85224-5710
(480) 855-2900
(480) 855-2051
Mailing address
875 S DOBSON RD, CHANDLER, AZ 85224-5710
(480) 899-9800
(480) 899-2994
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
OSC4443
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OSC4443
STATE LICENSE
AZ
Enumeration date
02/15/2008
Last updated
04/03/2015
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