SURGERY CENTER OF PEORIA, LLC
Surgery Yellow Pages
Peoria, Arizona
Provider NPI: 1992706899
Organization Information:Organization Name: SURGERY CENTER OF PEORIA, LLC
Practice Location:
13260 N 94TH DR SUITE 200 PEORIA, AZ 85381 US
Tel: 623-933-2900 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:
13260 N 94TH DR SUITE 200 PEORIA, AZ 85381 US
Tel: 623-933-2900 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 | OSC0016 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
436883 | AZ | 05 | |
RAILROAD MEDICARE | 490003885 | AZ | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin