| NPI | 1407595838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DUBIEL Director Of Administration 602-795-0207 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-02 |