BILTMORE SURGICAL PARTNERS LLC NPI 1477886406

NPI Information

NPI: 1477886406
Provider Name: BILTMORE SURGICAL PARTNERS, LLC

Doing Business As: DEER VALLEY SURGICAL AND ENDOSCOPY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
19646 N 27TH AVE STE 101
PHOENIX, AZ
ZIP 85027
Phone: (602) 633-3061
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BILTMORE SURGICAL PARTNERS, LLC is an ambulatory surgical clinic center in Phoenix, AZ. BILTMORE SURGICAL PARTNERS, LLC NPI is 1477886406. The provider is registered as an organization entity type.
The provider Is Doing Business As Deer Valley Surgical And Endoscopy Center.

The provider's business location address is:

19646 N 27TH AVE STE 101
PHOENIX, AZ
ZIP 85027-025
Phone: (602) 633-3061

The provider's authorized official is Jeremy Hogue .
The authorized official title is Director and has the following contact phone number (949) 706-9900.

The CLIA number assigned to this NPI record is 03D1104317 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/9/2009 and was last updated on 7/17/2020.

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			Yes

What is NPI?

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

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