| Organization Name: | HIGH DESERT SURGERY CENTER, L.L.C. |
| NPI Number: | 1033399084 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER KONTOGIANIS (MANAGING MEMBER) |
| Mailing Address: | 521 N Young St Kennewick |
| State: | WA US |
| Postal Code: | 993367806 |
| Phone Number: | 5095862828 |
| Fax Number: | 5095862525 |
| NPI Enumeration Date: | 11/07/2007 |
| NPI Last Update Date: | 11/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |