| NPI | 1023015989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J. MCNERNEY Medical Director 520-327-3454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC-2781) |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2013-07-15 |