| NPI | 1235656174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PABLO PRICHARD Sole Member 480-625-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261QX0200X Clinic/Center Oncology |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2024-03-06 |