| NPI | 1013519339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE CROWDER Medical Director 602-499-8243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2020-11-11 |