Provider Demographics
NPI:1952799900
Name:DESERT ANCILLARY SERVICES PLLC
Entity type:Organization
Organization Name:DESERT ANCILLARY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:DH
Authorized Official - Last Name:PITT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-999-5471
Mailing Address - Street 1:10115 E BELL RD
Mailing Address - Street 2:SUITE 107-508
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2189
Mailing Address - Country:US
Mailing Address - Phone:602-999-5471
Mailing Address - Fax:480-247-6146
Practice Address - Street 1:10115 E BELL RD
Practice Address - Street 2:SUITE 107-508
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2189
Practice Address - Country:US
Practice Address - Phone:602-999-5471
Practice Address - Fax:480-247-6146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-29
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP2800XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPerioperativeGroup - Single Specialty