| NPI | 1245647163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MCMEECHAN Office Administrator 602-466-2091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2015-06-02 |