Canyon Iup, LLC
Clinic/Center, Ambulatory Surgical in Tucson, AZ. Organization (NPI-2).
NPI number1457053399
StatusActive
Last updated in NPPESMar 21, 2023
Details
- NPI
- 1457053399
- Entity type
- Organization (NPI-2)
- Legal business name
- Canyon Iup, LLC
- Organization subpart
- No
- Enumeration date
- Mar 21, 2023
- Certification date
- Mar 21, 2023
- Last updated
- Mar 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
6339 E Speedway Blvd Ste 201Tucson, AZ 85710-1147
Phone 866-950-8013
Mailing address
6339 E Speedway Blvd Ste 201Tucson, AZ 85710-1147
Phone 866-950-8013
Authorized official
Yvette Rivera
Revenue Cycle Manager
5203821291
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