Organization
YUMA ADVANCED SURGICAL SUITES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (MARKET PRESIDENT)
(480) 567-0269
Entity
Organization
Contact information
Practice address
1030 W 24TH STREET SUITE H, YUMA, AZ 85364
(928) 920-3119
(928) 259-7548
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(469) 893-2500
(504) 322-3284
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
10/24/2024
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