| NPI | 1316446636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C. GILBERTO BRITO President 602-557-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QL0400X Clinic/Center, Lithotripsy |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |