Ambulatory Surgi-Center At Fmc LLC
Clinic/Center, Ambulatory Surgical in Flagstaff, AZ. Organization (NPI-2).
NPI number1154378909
StatusActive
Last updated in NPPESJun 11, 2010
Details
- NPI
- 1154378909
- Entity type
- Organization (NPI-2)
- Legal business name
- Ambulatory Surgi-Center At Fmc LLC
- Organization subpart
- No
- Enumeration date
- May 27, 2006
- Last updated
- Jun 11, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | OSC 2303 | AZ | Yes |
Practice location
1200 N Beaver St Ste BFlagstaff, AZ 86001-3118
Phone 928-214-2700
Mailing address
Po Box 2730Flagstaff, AZ 86003-2730
Phone 928-214-2700
Authorized official
Susan Novak
Director
9282142700
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