| NPI | 1194782672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA SALAZAR Director, Credentiailng & Contracts 602-508-4843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ 03C0001216) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2015-09-28 |