| NPI | 1407819857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRON E MACHULA Executive Administrator 928-681-4214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC 2913) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2020-08-22 |