BDPEC SHOW LOW ASC LLC NPI 1366756579

NPI Information

NPI: 1366756579
Provider Name: BDPEC SHOW LOW ASC LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1500 S WHITE MOUNTAIN RD
SUITE 300
SHOW LOW, AZ
ZIP 85901
Phone: (928) 537-3937
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BDPEC SHOW LOW ASC LLC is an ambulatory surgical clinic center in Show Low, AZ. BDPEC SHOW LOW ASC LLC NPI is 1366756579. The provider is registered as an organization entity type.

The provider's business location address is:

1500 S WHITE MOUNTAIN RD
SUITE 300
SHOW LOW, AZ
ZIP 85901-111
Phone: (928) 537-3937
Fax: (928) 537-4729

The provider's authorized official is Donald G Snyder .
The authorized official title is Cfo and has the following contact phone number (602) 955-1000.

The enumeration date for this NPI number is 7/29/2010 and was last updated on 7/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical		ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	ARIZONA	TIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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