| NPI | 1144333881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIC BURKE Officer/Director 480-689-8403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC 3647) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2022-01-03 |