| NPI | 1225696685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL VALDERRAMA Clinical Director 602-326-4450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |