| NPI | 1417994831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY SANAN Member 520-229-1554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC3940) |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-03-18 |