| NPI | 1215489182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MICHELLE MOENSTER Physician 520-207-3100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2026-06-24 |