NPI | 1114549805 |
---|---|
Entity Type | Organization |
Authorized Contact | ARIC BURKE Vice President Of Manager 480-689-8403 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2020-05-15 |
Last Update Date | 2024-08-26 |