| NPI | 1245638451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI A MEDINA Billing Specialist 520-877-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |