| NPI | 1285767822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SIWEK President 623-516-8252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: AZ OSC6456) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2019-02-02 |