BANNER ARIZONA ASC LLC

PEORIA, AZ
NPI1790759355
Doing Business AsTHE JON R. HILLEGAS SURGERY CENTER
Entity TypeOrganization
Authorized ContactPHILLIP A CLENDENIN
President
615-665-1283
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
(Licence: AZ  OSC3316)
Enumeration Date2006-02-13
Last Update Date2023-09-07
Business Address
BANNER ARIZONA ASC LLC
13640 N PLAZA DEL RIO BLVD SUITE 135
PEORIA, AZ 85381-4846
Phone number: 623-876-3943
Mailing Address
BANNER ARIZONA ASC LLC
13640 N PLAZA DEL RIO BLVD SUITE 135
PEORIA, AZ 85381-4846
Phone number: 623-876-3943