| NPI | 1013195569 |
|---|---|
| Doing Business As | DESERT MIRAGE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | FAY E WELLS Director Of Clinical Development 405-623-7743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |