Jcl Surgery, Llc in Phoenix - Trauma Surgery
Jcl Surgery, Llc - NPI 1215975966
Jcl Surgery, Llc is a Trauma Surgery in Phoenix, Arizona. Jcl Surgery, Llc practices all healthcare services and medical treatments related to Trauma Surgery. The NPI Number for Jcl Surgery, Llc is 1215975966. The last update date is 2007-11-29.
Jcl Surgery, Llc's current location address is 3201 W Peoria Ave, Phoenix, Arizona. You can contact this provider via phone number 6022986516 and fax number 6022982347. The mailing address for Jcl Surgery, Llc is 3201 W Peoria Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jcl Surgery, Llc |
|---|---|
| Address | 3201 W Peoria Ave, Phoenix, Arizona |
| Phone Number | 6022986516 |
| Fax Number | 6022982347 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. VICE P |
|---|---|
| Authorized Official Name | Grover R Gary |
| Telephone Number | 6022166687 |
NPI Number Detail
| NPI Number | 1215975966 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2007-11-29 |
Provider Mailing Address Detail
| Address | 3201 W Peoria Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850294608 |
| Phone Number | 6022986516 |
| Fax Number | 6022982347 |
Provider's Primary Taxonomy Detail
| Speciality | Trauma Surgery |
|---|---|
| Taxonomy | 2086S0127X |
|
Definition: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, ty |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 93479 | AZ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jcl Surgery, Llc by the Centers for Medicare & Medicaid Services?
The Jcl Surgery, Llc has been issued the NPI (National Provider Identifier) 1215975966. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jcl Surgery, Llc's physical address?
The Jcl Surgery, Llc is physically located at 3201 W Peoria Ave, in the city of Phoenix, AZ, with the postal code 850294608.
What is the Jcl Surgery, Llc's area of specialization and corresponding taxonomy classification?
The Jcl Surgery, Llc's specialty field is Trauma Surgery, and it falls under the taxonomy code 2086S0127X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1215975966 to Jcl Surgery, Llc?
The Jcl Surgery, Llc received its 1215975966 assignment from the Centers for Medicare & Medicaid Services on 2006-06-03.
When was the information regarding Jcl Surgery, Llc most recently updated?
The details pertaining to the Jcl Surgery, Llc, including its address, specialty, and other relevant information, were last refreshed on 2007-11-29.