| NPI | 1245613256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILAL SHANTI Medical Director 602-254-6369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC7168) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |