NPI | 1275186108 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW HAMMOND President 480-703-1564 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 207W00000X Ophthalmology |
261QS0132X Clinic/Center, Ophthalmologic Surgery | |
Enumeration Date | 2019-07-19 |
Last Update Date | 2023-02-06 |