Healthcare Provider Details

I. General information

NPI: 1952799900
Provider Name (Legal Business Name): DESERT ANCILLARY SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2014
Last Update Date: 12/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10115 E BELL RD SUITE 107-508
SCOTTSDALE AZ
85260-2189
US

IV. Provider business mailing address

10115 E BELL RD SUITE 107-508
SCOTTSDALE AZ
85260-2189
US

V. Phone/Fax

Practice location:
  • Phone: 602-999-5471
  • Fax: 480-247-6146
Mailing address:
  • Phone: 602-999-5471
  • Fax: 480-247-6146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP2800X
TaxonomyPerioperative Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: DR. DUANE DH PITT
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 602-999-5471