| NPI | 1144465410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN C EUBANK Administrator 480-839-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC4604) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2016-10-26 |