| NPI | 1306451208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY PIORKOWSKI Admin Assistant 480-444-7491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |