| NPI | 1023218500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BOON Officer/Authorized Official 480-567-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NV 4784ASC) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2022-08-03 |