| NPI | 1275292229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BOON Officer/Authorized Official 480-567-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2021-12-16 |