NPI | 1104894369 |
---|---|
Entity Type | Organization |
Authorized Contact | SANFORD L MORETSKY Owner Physician 480-833-0014 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC0034) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2020-08-22 |