| NPI | 1043750797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN HAUGLAND Member/Owner 480-570-1317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-03-27 |