| NPI | 1285120352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADONIS ESCOBEDO Credentialing Manager 602-759-6883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-08-10 |