| NPI | 1104957869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY D GOLLIHAR Manager 623-486-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OTC4813) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2011-03-09 |