| NPI | 1417287137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BOON Market President 480-567-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 07-1604) |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2024-09-19 |