| NPI | 1134815509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDIE HERNANDEZ Director Of Operations 480-634-4606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |