| NPI | 1023567260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMAR WAHEED Medical Director / Managing Partner 480-610-6152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2017-02-14 |