| NPI | 1114140019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L HAM President 928-771-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC3634) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-11-16 |