NPI | 1083382154 |
---|---|
Entity Type | Organization |
Authorized Contact | JASKAMAL KAHLON Authorized Official 480-835-6100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2021-09-02 |
Last Update Date | 2021-09-02 |