| NPI | 1255937439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID VANLIROP Manager 480-414-9986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2020-12-11 |