| NPI | 1154483808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER C. BIGHAM Facility Manager 480-786-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ 2951) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2019-03-21 |