| NPI | 1235383118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RIPPLE President 623-979-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC4105) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |