| NPI | 1255607149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON MONTGOMERY Director, Billing 520-382-1292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2013-07-23 |