Ambulatory Surgery Center of Yuma, LLC

NPI #1083681100 in Yuma, Arizona

Provider Information

NPI Number
1083681100
Entity Type
Organization
Organization Name
Ambulatory Surgery Center of Yuma, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Mar 7, 2006
Last Updated
Dec 6, 2007

Practice Location

Address
2261 S AVENUE B
City
Yuma
State
Arizona
ZIP Code
85364-6103
Phone
(928) 343-2180

Authorized Official

Name
DR. STEPHEN A WALLACE, M.D.
Title
AUTHORIZED SIGNER
Phone
(928) 343-2180

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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