| NPI | 1407083983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY ROSS-GRINNELL Office Manager 602-277-1559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |