| NPI | 1013189893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A PAUL KALANITHI Medical Director 928-757-4359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OTC710) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2009-04-27 |