Organization Name: | YUMA EYE SURGERY CENTER |
NPI Number: | 1063667293 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICK AIELLO (OWNER / MEDICAL DIRECTOR) |
Mailing Address: | 1375 W 16th St Suite B Yuma |
State: | AZ US |
Postal Code: | 853644497 |
Phone Number: | 9287821980 |
Fax Number: | |
NPI Enumeration Date: | 12/02/2008 |
NPI Last Update Date: | 12/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | NOT APPLICABLE |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |