Healthcare Provider Details

I. General information

NPI: 1790172922
Provider Name (Legal Business Name): YUMA VALLEY AMBULATORY PAIN SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2015
Last Update Date: 04/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 S RIDGEVIEW DR SUITE 207
YUMA AZ
85364-8875
US

IV. Provider business mailing address

2270 S RIDGEVIEW DR SUITE 207
YUMA AZ
85364-8875
US

V. Phone/Fax

Practice location:
  • Phone: 928-783-4640
  • Fax: 928-329-4886
Mailing address:
  • Phone: 928-783-4640
  • Fax: 928-329-4886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number32246
License Number StateAZ

VIII. Authorized Official

Name: DR. JEREMY S CURRY
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 928-783-4640