MESA AZ ENDOSCOPY ASC LLC
Ambulatory Health at Baseline Rd, Tempe, AZ

License number
Arizona OSC3651
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MS. BILLIE A PAYNE
Title: PRESIDENT
Phone: (615) 665-1283
Address
Address
610 E Baseline Rd, Tempe, AZ 85283
National Provider ID: 1770557233
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MESA AZ ENDOSCOPY ASC LLC at bizstanding.com

THE MESA AZ ENDOSCOPY ASC, LLC

Tempe, AZ  -  Scottsdale, AZ

Registration:
Jan 13, 2003
Addresses:
610 E Baselin Rd, Tempe, AZ 85283 (Physical)
4250 N Drinkwater Blvd 4, Scottsdale, AZ 85251 (Foreign)
State ID:
R-1060533-6
Entity State:
TN
Agent:
St Service Co,4250 N Drinkwater Blvd 4, Scottsdale, AZ 85251 (Physical)

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