| NPI | 1053517862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY L STERN Owner 623-974-3621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ 05046) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2008-07-09 |