Organization · Type 2 NPI

East Valley Asc LLC

Ambulatory Surgical Clinic/Center · Mesa, AZ

NPI number 1265177992 Active

Practice location

4838 E Baseline Rd Ste 108
Mesa, AZ 85206-4672

Mailing address

4838 E Baseline Rd Ste 105
Mesa, AZ 85206-4672

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1265177992

East Valley Asc LLC's National Provider Identifier is 1265177992, issued on Apr 27, 2022. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Mesa, AZ. The record was last updated on Aug 3, 2022.