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MESA AZ ENDOSCOPY ASC LLC

Surgery Yellow Pages

Mesa, Arizona

Provider NPI: 1770557233

Organization Information:
Organization Name:  MESA AZ ENDOSCOPY ASC LLC


Practice Location:
603 W BASELINE RD STE 101  MESA, AZ 85210 US
Tel: 480-969-0405  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
AZOSC3651

Other Provider Identifiers:

IssuerNumberStateType
TRI WEST - TRICARE860929359AZ01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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