| NPI | 1346400827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILAL F. SHANTI Member 480-473-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ 28663) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |