| NPI | 1386116978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGHAN OLMSTEAD Surgical Administrator 480-814-9258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2020-06-17 |