| NPI | 1013539709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIC BURKE Vice President Of Manager 602-670-1613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |