| NPI | 1225626195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH WILHEM Clinical Administrator 480-263-0597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2021-01-06 |