| NPI | 1225226020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN A SORENSEN Compliance Consultant 602-431-1152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ 23328) |
| Enumeration Date | 2007-10-06 |
| Last Update Date | 2008-07-17 |