CA
CANYON AMBULATORY SURGERY CENTER, LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
PHOENIX, AZ
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1689755928
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients45
Authorized official
NameJENNIFER BALDOCK
TitleOFFICER AND AUTHORIZED OFFICIALS
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