| NPI | 1063667293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK AIELLO Owner / Medical Director 928-782-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ not applicable) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2008-12-02 |