Premier Endoscopy ASC, LLC

Organization Active NPI Ambulatory Surgical Clinic/Center · Gilbert, AZ

NPI 1689100299 · NPPES record last updated May 3, 2017

Key facts

NPI
1689100299
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
PREMIER ENDOSCOPY ASC, LLC
Practice address
2563 S Val Vista Dr
Suite 101
Gilbert, AZ 85295-1804
Phone
(480) 786-6655
NPI assigned
May 3, 2017
Organization subpart
No

Authorized official

Name
Jenetha Moran
Title
Authorized Official
Phone
(972) 763-3893

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Yes

Addresses

Primary practice location

2563 S Val Vista Dr
Suite 101
Gilbert, AZ 85295-1804

Mailing address

15305 Dallas Pkwy
Suite 1600
Addison, TX 75001-4637
Phone (972) 763-3893

Other names

  • Premier Endoscopy Center Doing business as

Other providers in Gilbert, AZ

All providers in Gilbert, AZ · Ambulatory Surgical Clinic/Center in Arizona

Sources for this page

Verify at the official NPI Registry.