Organization · Type 2 NPI
East Valley Phoenix Asc LLC
Ambulatory Surgical Clinic/Center · Mesa, AZ
NPI number
1417530296
Active
Practice location
4555 E Inverness Ave Ste 101
Mesa, AZ 85206-4630
Mailing address
40 Valley Stream Pkwy Ste 100
Malvern, PA 19355-1407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1417530296
East Valley Phoenix Asc LLC's National Provider Identifier is 1417530296, issued on Apr 30, 2021. 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 Apr 30, 2021.