| NPI | 1104004225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN EVANOSKI Billling Manager 520-547-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |