| NPI | 1427557230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BOON Officer / Authorized Official 480-567-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2024-09-18 |