| NPI | 1003437336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ODELL President Of Managing Member 888-282-7472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-09-01 |