| 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 |