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 |