| NPI | 1366643751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BOON Officer And Authorized Official 480-567-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2025-07-31 |