Organization
AZ WEST ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN P SABLYAK (TREASURER)
(215) 589-9001
Entity
Organization
Contact information
Practice address
1850 N 95TH AVE, SUITE 190, PHOENIX, AZ 85037-4317
(623) 594-4060
(623) 594-8736
Mailing address
1850 N 95TH AVE, SUITE 190, PHOENIX, AZ 85037-4317
(623) 594-4060
(623) 594-8736
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
677816
—
AZ
Enumeration date
09/23/2010
Last updated
02/04/2015
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