Organization
BANNER ARIZONA ASC LLC
Active
Other names
The Jon R. Hillegas Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP A CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
13640 N PLAZA DEL RIO BLVD, SUITE 135, PEORIA, AZ 85381-4846
(623) 876-3943
(623) 876-6946
Mailing address
13640 N PLAZA DEL RIO BLVD, SUITE 135, PEORIA, AZ 85381-4846
(623) 876-3943
(623) 876-6946
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC3316
AZ
Other
Enumeration date
02/13/2006
Last updated
09/07/2023
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