| NPI | 1063693588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANIKURICHI S VENKATESH Medical Director Owner 480-835-5302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2008-05-05 |