| NPI | 1083060107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELINA RUELAS Office Manager 602-258-7003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC7561) |
| Enumeration Date | 2016-05-07 |
| Last Update Date | 2016-05-07 |