| NPI | 1073579256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MCKENNA Director Of Nursing 602-995-3395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC0032) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2023-12-04 |