| NPI | 1033600432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MORGAN Owner 623-935-9920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 208600000X Surgery |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2021-11-11 |