| NPI | 1386619484 |
|---|---|
| Doing Business As | HAVASU SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM M. GRACEY COO 615-372-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: AZ OSC2912) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-08-22 |