| NPI | 1285768903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BOON Officer / Authorized Official 480-815-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NV 461ASC11) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2025-01-11 |