FOREST CANYON ENDOSCOPY & SURGERY CTR PC
Surgery Yellow Pages
Flagstaff, Arizona
Provider NPI: 1679566582
Organization Information:Organization Name: FOREST CANYON ENDOSCOPY & SURGERY CTR PC
Practice Location:
560 N SWITZER CANYON DR FLAGSTAFF, AZ 86001 US
Tel: 928-774-3044 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
560 N SWITZER CANYON DR FLAGSTAFF, AZ 86001 US
Tel: 928-774-3044 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | AZ | OSC3471 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PROVIDER NUMBER | 03-C0001268 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin