| NPI | 1043222417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J BROWNSBERGER Owner 928-458-7343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ 03C0001308) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2022-12-16 |