| NPI | 1306465455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MORGAN Sole Memeber 602-680-9976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2022-03-30 |