| NPI | 1336695725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEY KERCHANSKY Facility Administrator 480-440-1985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |