Organization
YUMA AZ ENDOSCOPY ASC LLC
Active
Other names
Endoscopy Center of Yuma
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP A CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
1030 W 24TH ST, SUITE 1, YUMA, AZ 85364-8384
(928) 343-1717
(928) 343-1011
Mailing address
1030 W 24TH ST, SUITE 1, YUMA, AZ 85364-8384
(928) 343-1717
(928) 343-1011
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC 3889
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116880
—
AZ
Enumeration date
02/21/2006
Last updated
09/07/2023
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