| NPI | 1316533870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT TAYLOR Member 480-299-5916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2020-12-17 |