| NPI | 1407301484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNA WELLS Credentialing Specialist 623-334-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2025-01-10 |