NPI | 1407093891 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN L. TITUS President 480-838-9313 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: AZ OSC4528) |
Enumeration Date | 2009-01-07 |
Last Update Date | 2012-10-25 |