| NPI | 1316361199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE CASTILLO Practice Manager 602-242-9891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2025-10-27 |