Organization
PHYSICIANS SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN N. GLESMANN (VICE PRESIDENT)
(928) 763-8443
Entity
Organization
Contact information
Practice address
1800 HIGHWAY 95, BULLHEAD CITY, AZ 86442-6803
(928) 763-8443
(928) 763-3073
Mailing address
1800 HIGHWAY 95, BULLHEAD CITY, AZ 86442-6803
(928) 763-8443
(928) 763-3073
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498205
—
AZ
Enumeration date
12/01/2006
Last updated
07/21/2022
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