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Organization

NORTH PHOENIX ASC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEREMY BUCKNER DC (SOLE MBR)
(602) 482-2282
Entity
Organization

Contact information

Practice address
3329 E BELL RD STE A2-A5, PHOENIX, AZ 85032
(602) 482-2282
Mailing address
3329 E BELL RD STE A2-A5, PHOENIX, AZ 85032-2756
(602) 482-2282

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
02/23/2018
Last updated
08/29/2018
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